HomeMy WebLinkAbout05-4284
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
Lien Unit Phone: (800) 913-6050 242147305 1,),,'60/ fIt.... .
As provided by section 6321, 6322, and 6323 of the Internal Revenue OS;"
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 p~ m i'-i-
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JAM ELECTRICAL SYSTEMS INC , a Corpora ion C J~ 7.3
C!P / (., ~I '3 '0
Residence 1914 BROOKWOOD ST
HARRISBURG, PA 17104
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).
Tax Period Date of Last Dr.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi Ing of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2003 25-1848847 11/17/2003 12/17/2013 27453.96
0 .....,
eO') 0
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Place of Filing
Prothonotary
Cumberland County Total $ 27453.96
Carlisle, PA 17013
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This notice was prepared and signed at
PHILADELPHIA, PA
I on this,
the
08th day of August
2005
for CINDY
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
Aev. Au!, 71-466,1971 - 2 C,B. 409)
Part t - Kept By Recording OffIce
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
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