HomeMy WebLinkAbout05-0362
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax lien
(Rev. February 2004) 77 .'. 11 \"'- '?r..:2 Fr 1-
-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 Pet. /!y; ~ 1'f.<.rV
Lien Unit Phone: (412) 395-5265 207424805
As provided by section 6321, 6322, and 6323 of the Internal Revenue e.k. /.}.o(,
Code, we are giving a notice that taxes (including Interest and penalties)
have been assessed against the following-named taxpayer. We have made f2e". /597 YO
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 c.,) c.:
. -d
additional penalties, interest, and costs that may accrue. ,-;"-'1
S-
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Name of Taxpayer RED BARON OF AMERICA INC , a Corporat1 n ~,.-
1057 COLUMBUS AVE LEMOYNE r".)
c.::,~
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Residence 12 TALL TREE DR --..,
CAMP HILL, PA 17011-8339 -
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, c::> .
unless notice of the lien is refiled by the date given in column (el, this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325Ia).
Tax Period Date of Last Dal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! ng of Assessment
la) (b\ (c) (d) (e) (f)
941 03/31/2004 23-2086199 09/06/2004 10/06/2014 4316.73
941 06/30/2004 23-2086199 10/11/2004 11/10/2014 3051.23
Place of Filing
Prothonotary
Cumberland County Total $ 7367.96
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
04th day of January
2005
Signature
Title
REVENUE OFFICER
(717) 221-3490
23-09-1439
for DARLENE FISHER
(MOTE: 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. 4091
Part t . Kept By Recording omce
Form 668(Y}(c) IRev. 2.2004)
CAT. NO 60025X