HomeMy WebLinkAbout12-6412Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tau Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 898135612
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 bekm$ing to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpay'r MICHAEL A SHERRIFF
M SHERRIFF CONSTRUCTION
Residence 436 MOUNT ROCK RD
NEWVILLE, PA 17241-9576
For Optional Use by Recordina Office
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IMPORTANT (RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Kind of Tax
941
Place of Filing
tax Period I I Date of I Last Day for
Ending Identifying Number Assessment Wiing
12/31/20111 25-1815132 106/04/2012 07/04/2022
Prothonotary
Cumberland County
Carlisle, PA 17013
7606.03
Total 1$ 7606.03
This notice was prepared and signed at
the 05th day of October
DETROIT, MI
2012
, on this,
Signature Title
` ?C-eso-r' REVENUE OFFICER 22-06-1418
for JAKOB PE ERSEN (717) 777-9621
Unpaid Balance
of Agent
W ?.. vy law .v Lana numiumaugmem[ 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 Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X