HomeMy WebLinkAbout12-5210Form 668 (Y)(c)
(Rev. February 2004)
3
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 887787512 L
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and = = --
additional penalties, interest, and costs that may accrue. ryW r
Name of Taxpayer ANN BARR
RLB SERVICES
Residence 6838 WERTZVILLE RD c-, '
ENOLA, PA 17025-1032
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
3 3
7n
in IRC 6325(a). a
j
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
6721
1 12/31/2008 20-4075486 10/10/2011 11/09/2021 5157.71
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 5157.71
This notice was prepared and signed at
the 14th day of August
DETROIT, MI
2012
, on this,
Signature Title
REVENUE 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 I - Kept By Recording Office CAT. 668( (Rev, 2 2004)
CAT. NO 60025X