HomeMy WebLinkAbout12-6113Form 668 (Y)(c)
IRev. February 20041
83
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
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: Serial Number For Optional Use by Recording Office
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SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 895032012
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As provided by section 6321, 6322, and 6323 of the ,
Code, we are givhl<g a mice that taxes (including interest and penakies)
have been assessed agahut the following-named taxpayer. We have made
a demand for paymmtt of this liability, but it remains unpaid. Therefore,
there is a lien M favor of the united States on all property and rights to
property bela~ging to this taxpayer for the amount of these taxes, and ~ ~ ~~~~'
additional penalties, interest, and costs that may accrue.
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Name of Taxpayer JERALD L METCALF, AN LLC ~~' -•-~ -^~,-;
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Residence 1513 COMMERCE AVE Y
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CARLISLE, PA 17015-9166 f :
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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, // ~ .~+"" '
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on the day following such date, operate as a certificate of release as defined
Tax Period Date of Last Day for
® Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Iing of Assessment
(a) (b (c) (d) e)
941 12/31/2008 36-4518084 08/08/2011 09/07/2021 4959.88
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 4959.88
This notice was prepared and signed at DETROIT, MI
the 20th day of September 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 1 -Kept By Recordie~ Office Form 668(ln(c) IRev. 2-2004)
CAT. NO 60025X