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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) 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 944933313
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 MW C
dditional penalties, interest, and costs that may accrue. ,-
Name of Taxpayer MICHAEL A SHERRIFF -�� �• c
- M SHERRIFF CONSTRUCTION C>
7s �� C
Residence 436 MOUNT ROCK RD, rra
NEWVILLE, PA 17241 -9576
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 ). a9a�j�
Tax Period Date of Last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/2012 25- 1815132 05/20/2013 06/19/2023 3338.88
941 06/30/2012 25- 1815132 05/20/2013 06/19/2023 4845.16
941 09/30/2012 25- 1815132 05/20/2013 06/19/2023 6807.48
941 12/31/2012 25- 1815132 05/20/2013 06/19/2023 7173.98
Place of Filing
Prothonotary
Cumberland County Total $ 22165.50
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 14th day of June 2013
Signature Title
\���v -� 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(Y)(c) (Rev. 2 -2004)
Part 1 - Kept By Recording Office CAT. NO 60025X