HomeMy WebLinkAbout05-3559
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 20041 11.fo.n(- '" <<:4 f:'17_
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA IU (Jd... ':;1/ .t/yuv
Lien Unit Phone: (800) 913-6050 236321405
As provided by section 6321, 6322, and 6323 of the Internal Revenue Q/..1'i~
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made iK.v . I("G 3.2.(,.
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 n ...,
additional penalties, interest, and costs that may accrue. r=_"") 0
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Name of Taxpayer SPECIAL EFFECTS FOR HAIR .. <- ~~
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Residence 3507 MARKET ST STE 101 ~\"--'
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CAMP HILL, PA 17011-0000 , .. :3,:
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, - ,,:;!
unless notice of the lien is refiled by the date given in column (e), this notice shalt O'"j
on the day following such date, operate as a certificate of release as defined
in IRC 6325/al.
Tax Period Date of Last Dad. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilng of Assessment
(a) lb) (c) (d) (e) (f)
941 09/30/2004 23-2481482 12/27/2004 01/26/2015 6110.99
941 12/31/2004 23-2481482 04/18/2005 05/18/2015 7189.54
Place of Filing
Prothonotary
Cumberland County Total $ 13300.53
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
06th day of July
2005
Signature
Title
REVENUE OFFICER
(717) 221-3490
23-09-1439
for DARLENE FISHER
(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. 4091
Part 1 - Kept By Recording Office
Form 668{Y){c) IRev. 2-20041
CAT. NO 60025X