HomeMy WebLinkAbout13-0785Form 668 (Y)(c)
IRev. February 2004)
11883
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 #2
Lien Unit Phone: (800) 913-6050 921513813 -~
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 belonging to this taxpayer for the amount of these taxes, and ~a
additional penalties
interest
and costs that may accrue `..-= =~ '
,
,
.
Name of Taxpayer B L BRADLEY BUILDING & REMODELING ~~~'
~ ~,.
-~ ~`
Residence 310 TICHY DR cry
~ ~` -~'-'
'
MT HOLLY S PGS , PA 17 0 6 5 -1616 :rt
~ f--, T
-'"" L"> ~:. -
--- ~._ ,
w
_ , .
.
~-
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
l
i .~='~
7
l~ ~
`
un
ess not
ce of the lien is refiled by the date given in column (el, this notice shall, ~ r'.S ~) ~,~b -
'-
on the day following such date, operate as a certificate of release as defined
in IRC fi325(a)
~' ~ f
~`~
5~5
. ~
,
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 06/30/2005 25-1576192 01/07/2013 02/06/2023 7994.73
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 7994.73
This notice was prepared and signed at DETROIT, MI
the 08th day of February 2013
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)
Part 1 - K t Form 668(Y)(c) IRev. 2-2004)
ep By Recording OFfice CAT. NO 60025X