HomeMy WebLinkAbout14-0299 11883
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 977078314
As provided by section 6321, 6322, and 6323 of the Internal Revenue /y o?q A:
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, and1 =T
additional penalties, interest, and costs that may accrue. ti = 1 7 -=
r'
Name of Taxpayer BRIAN SCOTT BROCKWAY } -�
BROCKWAY CONSTRUCTION
Residence 1 LENOX CT
MECHANICSBURG, PA 17050- 8215
IMPORTANT �
NT RELEASE INFORMATION For each assessment listed below, T
e of the lien is refiled by the date given in column (e), this notice shall, �� S� ��, �`
following such date, operate as a certificate of release as defined
5(a).'f1E
Tax Period Date of L ast Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
6721 12/31/2000 56- 2172660 09/29/2003 10/29/2023 601.87
6721 12/31/2002 56- 2172660 09/26/2005 10/26/2015 664.00
941 12/31/2001 56- 2172660 05/20/2002 06/19/2022 23473.81
941 03/31/2002 56- 2172660 10/21/2002 11/20/2022 3112.54
941 06/30/2002 56- 2172660 10/28/2002 11/27/2022 20335.55
941 09/30/2002 56- 2172660 10/06/2003 11/05/2023 8293.26
941 12/31/2002 56- 2172660 10/06/2003 11/05/2023 19881.60
Place of Filing
Prothonotary
Cumberland County Total $ 76362.63
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 07th day of January 2014
Signature Title
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)
AT Form 668( (Rev. 2-200
Part 1 - Kept By Recording Office CAT NO 60025X X