HomeMy WebLinkAbout14-7014Form 668 (Y)(c)
(Rev. February 2004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
Serial Number
131214714
For Optional Use by Recording Office
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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
additional penalties, interest, and costs that may accrue.
/Y-' 76/17
- /.s
Name
Name of Taxpayer MICHAEL A SHERIFF
M SHERIFF CONSTRUCTION
Residence 436 MOUNT ROCK RD
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).
Kind of Tax
(a)
Tax Period
Ending
(b)
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Refiling
(e)
Unpaid Balance
of Assessment
(f)
6721
6721
940
940
12/31/2010
12/31/2011
12/31/2011
12/31/2012
25-1815132
25-1815132
25-1815132
25-1815132
09/09/2013
09/22/2014
08/12/2013
10/07/2013
10/09/2023
10/22/2024
09/11/2023
11/06/2023
4069.32
10814.30
554.91
170.50
Place of Filing
Prothonotary
Cumberland County Total
Carlisle, PA 17013
$ 15609.03
This notice was prepared and signed at DETROIT, MI
on this,
the
20th day of November 2014
Signature
'7-NM�
for JAKOB A PEDERSEN
Title
REVENUE OFFICER
(717) 777-9621
22-06-2624
(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)
Part I - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X