HomeMy WebLinkAbout05-5891
1872
Form 668 (Y)(c)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien n..D< 5Y9
Tl-
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 913-6050 256793005
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.
Name of Taxpayer CUSTOM PATIO ROOMS OF BALTIMORE INC
a Corporation
For Optional Use by Recording Office
,fe. ;J<f/ · 1'1 <J~
CIL /0(;0
;L. NoS ~(
Residence
4609 GETTYSBURG RD
MECHANICSBURG, PA 17055-4324
n .....,
c:::l
c: C::;;l'
en
c:)
"""
-
""TJ
-.
-.
.~ cr.
CJ
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is reWed 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(0).
Kind of Tax
(a)
941
941
Tax Period
Ending
(b)
12/31/2004
03/31/2005
Identifying Number
(c)
04-3586829
04-3586829
Date of
Assessment
(d)
07/11/2005
07/11/2005
Last Day for
Refiling
(e)
08/10/2015
08/10/2015
Unpaid Balance
of Assessment
(f)
62995.20
48711.76
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
111706.96
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
31st day of October
2005
for CINDY
tl f(~
Title
REVENUE OFFICER
(717) 221-3490 x1220
23-06-1459
Signature
(NOTE: Certificate of officer authorized by Jaw 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 Olliee
Form 668(Y)(e) lRev. 2-20041
CA T. NO 60025X