HomeMy WebLinkAbout12-6715Form 668 (Y)(c)
(Rev. February 2004)
11883
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 902862612
As provided by section 6321, 6322, and b323 of the Internal Revenue
Code, we are ghfit~ a notice that taxes (including interest and penaltks)
have been assessed against the following-named taxpayer. We have made
a demand for payment ~ this IiabiNty, but h remains unpaid. Therefore,
there is a Ikn in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additbnal penalties, interest, and costs that may accrue.
ame of I axpayer
Residence 156 CUMBERLAND PKWY STE 100
MECHANICSBURG, PA 17055
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(a1.
For Optional Use
Office
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Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
a) (b) (c) (d (e) ~
941 03/31/2012 56-2382216 10/08/2012 11/07/2022 113557.62
941 06/30/2012 56-2382216 10/08/2012 11/07/2022 116476.08
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 230033.70
This notice was prepared and signed at DETROIT, MI
the 26th day of October 2012
on this,
Signature ~ ~~ Title 22 - 0 6 -112 6
` ` REVENUE REP
for LISA M TOAL (412) 395-6347
(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(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X