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HomeMy WebLinkAbout12-6531 4804 Department of the Treasury - Internal Revenue Service Form 668 {Y)(c) Notice of Federal Tax Lien (Rev. February 2004) Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 898575112 As provided by section 6321, 6322, and 6323 of the Internal Revenue 1.2 - 6,53 1 /---'7?-- 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. © .n Name of Taxpayer KIM W BRENNEMAN-STRICKLAND --a ' KIMEB & CO STUDIO FOR HAIR -rL Residence 200 S SPRING GARDEN STREET CARLISLE, PA 17013-2578 ? cr f f' 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 _ 7' in IRC 6325(a). P_-It? a'q /6 Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refling of Assessment (a) (b) (c) (d) (e) (f) 940 12/31/2011 20-8370225 07/16/2012 08/15/2022 1083.46 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 1083.46 This notice was prepared and signed at the 10th day of October DETROIT, MI 2012 , on this, Signature Title ?\C_? 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) Form 668( Nev. 2-20041 Part 1 - Kept By Recording Office CAT. CAT. NO 60025X