HomeMy WebLinkAbout13-0441Form 668 (Y)(c)
(Rev. February 20041
1
Department of the Treasury -internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #5
Lien Unit Phone: (800) 913-6050 917195513
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~_3 lay/ ~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
- V ~' w
property belonging to this taxpayer for the amount of these taxes, and ~'~' '~- ~_~:-~~'
rrr ~
additional penalties, interest, and costs that may accrue. ~ T -~- `r' i ;~
--
r
~
Name of Taxpayer J JEFFREY FETSKO --~~r ~ `=~
'
DBA FETSKO CONSTRUCTION
. ~ ~ ~x:.. -w
Residence
1155 BROOKLYN CIRCLE :
~ c -- `=-' `-~
ry...~, ~. --~'
NEW CUMBERLAND, PA 17070 ~~
~
;
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, )
~~' S z ~- ,
'~
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 Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2005 23-2258242 10/10/2005 11/09/2015 127.84
941 09/30/2005 23-2258242 12/26/2005 01/25/2016 1230.67
941 12/31/2005 23-2258242 03/27/2006 04/26/2016 3151.18
941 03/31/2006 23-2258242 07/10/2006 08/09/2016 3394.45
941 06/30/2006 23-2258242 10/09/2006 11/08/2016 2589.97
941 09/30/2006 23-2258242 02/12/2007 03/14/2017 11734.75
941 12/31/2006 23-2258242 04/09/2007 05/09/2017 3536.13
941 03/31/2007 23-2258242 07/02/2007 08/01/2017 12586.89
941 06/30/2007 23-2258242 11/12/2007 12/12/2017 1679.93
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 40031.81
This notice was prepared and signed at
the 17th day of January
DETROIT, MI
2013
on this,
Signature Title
~ ~-~ REVENUE OFFICER 25-15-3234
for J LOOBY (404} 338-9482
(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.E3. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X