HomeMy WebLinkAbout05-4605
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 7/" (),- <f (. oS t:r/
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 -Pd., P.y; R I". (J()
Lien Unit Phone: (800) 913-6050 245335105
As provided by section 6321, 6322, and 6323 of the Internal Revenue Uz. I 'fO
Code, we are giving a notice that taxes (including interest and penalties) e.u. )M7~
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.
Name of Taxpayer DOE & JERRYS INC , a Corporation
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(;.-:::;) -n
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(,., --i
Residence N FRONT ST ["I, ~
902 . d (11
WORMLEYSBURG, PA 17043-1025 1
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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 shall, --
on the day following such date, operate as a certificate of release as defined - - c_~> ~
in IRC 6325(0). -:, .-
Tax Period Date of Last Dad. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2004 25-1845930 04/18/2005 05/18/2015 221.01
941 06/30/2004 25-1845930 10/11/2004 11/10/2014 58.36
941 12/31/2004 25-1845930 03/07/2005 04/06/2015 6196.84
Place of Filing
Prothonotary
Cumberland County Total $ 6476.21
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
26th day of August
2005
for DARLENE
afl~
Title
REVENUE OFFICER
(717) 221-3490
23-09-1439
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. 4091
Part t ~ Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X