HomeMy WebLinkAbout03-1768Form 668 (Y)(c)
(Rev. October 2000)
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 7z~o~-/?~,~
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3
lien Unit Phone: (412) 395-5265
105365303
Serial Number
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 Js a lien Jn favor of the United Scares on all property and rights to
pruperCy belon~ng to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
NameofTaxpayerTAMDOT HOMECARE OF HARRISBURG INC
a Corporation
Residence 1011 MARKET STREET
LEMOYNE, PA 17043
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).
Kind of Tax
(a)
941
941
941
For Optional Use by Recording Office
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Ck. q3o
Tax Period
Ending
(b)
09/30/2000
12/31/2000
03/31/2002
Identifying Number
(c)
23-2272088
23-2272088
23-2272088
Prothonotary
Cumberland County
Carlisle, PA 17013
Date of
Assessment
(d)
05/21/2001
05/28/2001
07/08/2002
Last Day for
Retiiing
(e)
06/20/2011
06/27/2011
08/07/2012
Total
Place of Filing
Unpaid Balance
of Assessment
(f)
13787.42
5774.25
4028.58
23590.25
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 04th dayof April, 2003
S,gnature .... ,. / ~ ~>'~>.------- I Title
. ~_~_¥ ../~f~/..,~/' "/ ;'~ ' ~/X~ -~:~'~'~,/~ ~'I.,~_ REVERE OFFICER 23-11-1439
for D~m~m~~R ...... (/ I (717) 221-3490
(NOTE: Ce~ificate 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. 409)
Pa~ I - Kept ~ R~ording ~ Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X