HomeMy WebLinkAbout05-1162
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 Of; -/If.,~ F~
Lien Unit Phone: (412) 395-5265 215047105
As provided by section 632t, 6322, and 6323 of the Internal Revenue flL-{ ,00 Pel
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made J)J[f
a demand for payment of this liabilitY, but it remains unpaid. Therefore, Cy...:==lJ
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 I~-#-- 11../405
additional penalties, interest, and costs that may accrue.
r,.,
Name of Taxpayer MARK A MINNICH C,';;;' 0
r..:;;) on
M & M ELECTRIC ASSOCIATES c_.n
::1;: ::rJ::D
::.';-.
Residence ;;:.;:; n'I~_
300 HOLLAR AVE I ..,:.,nl
"7
SHIPPENSBURG, PA 17252-7213 . ~,
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,........,.,
IMPORTANT RELEASE INfORMATION: For each assessment listed below. ;c.~! (~:;i
" a tjrn
unless notice of the lien is refiled by the date given in column (e), this notice shall, -. ;':~'"I
on the day following such date, operate as a certificate of release as defined ,J:.- :-{j
in IRe 6325(al- U1 '-<.
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RefillRg of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2003 25-1806931 04/26/2004 OS/26/2014 288.89
941 12/31/2003 25-1806931 05/10/2004 06/09/2014 8073.98
Place of Filing
Prothonotary
Cumberland County Total $ 8362,87
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
. on this.
18th day of February
2005
the
for CINDY SIMCOX
Title
REVENUE OFFICER
(717) 221-3490
23-09-1459
Signature
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!' 71-466, 1971 - 2 C.B. 409}
Part 1 ~ Kept By Recording Office
Form 668(Y)(c) IRev. 2.2004)
CA T. NO 60025X