HomeMy WebLinkAbout06-0542
1872
Department of the T,easu,y - Internal Revenue Se,vice
Form 668 (Y){c) Notice of Federal Tax Lien
(Rev. February 2004) JU, 0(,' ~-<fd_ FT/-
A,ea: Se,ial Numbe, For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 f~. fl( i"I'I (]V
Lien Unit Phone: (800) 913-6050 267146706
As provided by section 632t, 6322, and 6323 of the Internal Revenue CJe.... G:lr..y
Code, we are giving a notice that taxes (including interest and penalties) ~, J'Tj'Jll/
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 Taxpaye, CUSTOM PATIO ROOMS OF BALTIMORE INC c_
a Corporation
~_.-
--'.)
Residence ~..' .
2250 BUMBLE BEE HOLLOW ROAD
MECHANICSBURG, PA 17055-5581 -
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ..
.".-,
unless notice of the lien is refHed by the date given in column (e), this notice shall, c','
on the day following such date, operate as a certificate of release as defined
in IRe 6325(0).
Tax Period Date of Last D1.; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2004 04-3586829 10/31/2005 11/30/2015 188.45
941 06/30/2005 04-3586829 09/26/2005 10/26/2015 20185.97
Place of Filing
Prothonotary
Cumberland County Total $ 20374.42
Carlisle, PA 17013
This notice was p,epa,ed and signed at
DETROIT, MI
, on this,
the
12th day of January
2006
for MIGNA
t2 fI~
Title
REVENUE OFFICER
(717) 221-3490
22-06-1408
Signatu,e
(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. 4091
Part 1 M Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X