HomeMy WebLinkAbout05-1159
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 - fIr<( )::YC
lien Unit Phone: (412) 395-5265 214800105 or;
As provided by section 632t, 6322, and 6323 of the Internal Revenue 4' /II DO rJcC
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, c/c*} !).(/p
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 J-:Z ~ /l,12JPt?
additional penalties, interest, and costs that may accrue. ()
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Name of Taxpayer SCULPTURED IMAGES INC a Corporation -...:'" --<
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,.\:\ :;",] .-nr;1
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Residence ..::;~ "':~~(;5
204 S FRONT ST -
WORMLEYSBURG, PA 17043-1335 ::~~;::-o,:)
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, .1;- "~::J
::-c
unless notice of the lien is refiled by the date given in column (a), this notice shall, f'-)
on the day following such date, operate as a certificate of release as defined
in IRe 6325(0).
Tax Period Date of Last Da~ for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refil ng of Assessment
(a) (b) (c) (d) (e) (f)
6721 12/31/2001 25-1742254 01/31/2005 03/02/2015 27552,48
Place of Filing
Prothonotary
Cumberland County Total $ 27552,48
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
17th day of February
2005
Signature
Tit/e
REVENUE OFFICER
(717) 221-3490
23-09-1459
for CINDY SIMCOX
(NOTE: Certificate of officer authorized by law to take acknowledgment \s not essential to the valldity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part . ~ Kept By Recording Office
Fo'm 668(Y)(c) IRev. 2,20041
CAT. NO 60025X