HomeMy WebLinkAbout12-5354 ,
11883
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
fRev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (,800) 913-6050 889161312
As provided by section 6321, 6322, and 6323 of the Internal Revenue f`'~ ~
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 -tam ~ ~
property belonging to this taxpayer for the amount of these taxes, and ~ I`r~~-
additional penalties, interest, and costs that may accrue. Wit''''
Name of Taxpayer JACKSON MECHANICALS INC, a Corporation ~-E,,,~ OD
a S
Residence 2 9 RADAM ST
ENOLA , PA 17 0 2 5 - 216 9 r~ :~a
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, :~~~.52' , sr: _ T
on the day following such date, operate as a certificate of release as defined
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessmient
(a) (b) (c) (d) (e) (f)
940 12/31/2009 25-1786422 06/07/2010 07/07/2020
940 12/31/2009 25-1786422 06/28/2010 07/28/2020
940 12/31/2009 25-1786422 03/05/2012 04/04/2022 25'33.02
940 12/31/2011 25-1786422 07/16/2012 08/15/2022 10''65.04
941 06/30/2011 25-1786422 10/03/2011 11/02/2021 3148.76
941 09/30/2011 25-1786422 07/16/2012 08/15/2022 9247.12
941 12/31/2011 25-1786422 07/23/2012 08/22/2022 33161.96
Place of Filing
Prothonotary
Cumberland County Total $ 46355.90
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 21st day of August 2012
Signature Title
REVENUE OFFICER 22-06-1411
for DREW N DELENICK (717) 777-9619
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax' lien
Rev. RuI. 71-466, 1971 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X