HomeMy WebLinkAbout12-4926T-
T
11883
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal' Tax Lien
(Rev. February 2004)
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 8 5111912
AS provided by section 6321, 6322, and 6323 of the Interne Revenue
Code, we are ginning a notice that taxes (including interest and mites)
have been assessed against the followingwnamed taxpayer. We a made
a demand for payment of this liability, but it remains unpa?. refore,
there is a lien in favor of the united States on all property and rights to
property belonging to this taxpayer for the amount c these es, and ,
additional penalties, interest, and costs that may accrue. -0-
?m
Name of Taxpayer NORRIS CHILD CARE CONSULTANTS I N C X? ?
a Corporation ?
.t
Residence PO BOX P
NEW CUMBERLND, PA 17070-0227 "
NT RELEASE INFORMATION: For each assessment list ed below, rv
e of the lien is refiled by the date given in column (e), this no
f
l
F tice shall,
fi
d
d
ease a
re
following such date, operate as a certificate o
5
R ne
e ~
; WeD
,j
(a).
C
I v
1
Tax Period Date o f Last Day for Unpaid Bal ance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessm ent
(a (b) c) d (e (f)
941 09/30/2011 25-1864773 01/30/201 03/01/2022 72.73
941 12/31/2011 25-1864773 04/16/201 05/16/2022 58 66.98
941 03/31/2012 25-1864773 07/16/201
I
I
I
I
?I
I 08/15/2022 412 74.11
Place of Filing
Prothonotary
Cumberland County Total $ 472 3.82
Carlisle, PA 17013
repared and signed at DETROIT, MI
This notice was , on this,
p
31st July 2012
the day of ,
Signature REVS OFFICER 22-06 -1418
for JAKOB PEDERSEN (717) 777-9621
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By RomMns Offs Form 668(Y)(c) (Rev
a rAT_ Nn 2-2004)
0026x