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499
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 itOI-37J3 F'TL
Lien Unit Phone: (412) 395-5265 230176255
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, (') .-:::;. CJ
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there Is a lien in favor of the United States on all property and rights to <~
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property belonging to this taxpayer for the amount of these taxes, and _u"_ _--r',
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additional penalties, Interest, and costs that may accrue. -;>"---'" !.:::-~
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Name of Taxpayer GINGERBREAD MAN INC a Corporation ~c "7:~(~)
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Residence ,_.-1
114 E ALLEN ST ~ N :P~
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MECHANICSBURG, PA 17055-3303 rv -<
IMPORTANT RELEASE INFORMATION: For each assessment listed below, b5~53
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 1O:fl:= 1/3D& \
in IRe 6325(0).
Tax Period Date of Last D1; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! ng of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/2000 .23-1978062 06/12/2000 07/12/2010 336.95
941 09/30/2000 23-1978062 12/04/2000 01/03/2011 2092 .19
941 12/31/2000 23-1978062 03/26/2001 04/25/2011 5680.43
Place of Filing
Prothonotary Total $ 8109.57
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
06th day of June
2001
Signature
Title .
Revenue Offlcer
(717) 221-3490
23-01-1450
for J. WHITE
(HOTE: 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,8, 409) Form 668(Y)(c) IRev, 1O-00}
Part 1 - Kept By Recording Office CAT. NO 60025X
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499 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 -I{,. /4{
Lien Unit Phone: (412) 395-5265 230176255 'ES':U1J
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions, Therefore, the lien provided by Code section 6321 for these taxes and
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on June 18
2001 , is authorized to note the books to show the release of this lien for
these taxes and additions. 0 c;::> ()
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Name of Taxpayer -, ::l") .-.
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GINGERBREAD MAN INC , a Corporation rfl :-i', -0
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Residence 114 E ALLEN ST ~~ ~_. . e.
MECHANICSBURGi PA 17055-3303 -
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COURT RECORDING INFORMATION: ~< (,11
Liber Page UCC No. Serial No. ~ ;;L <f).
n/a n/a n/a 01-3723 FTL ~ ift.l7<T
Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending _ Identifying Number Assessment Refi mg of Assessment
(a) (b) (e) (d) (e) (f)
941 03/31/2000 23-1978062 06/12/2000 07/12/2010 336.95
941 09/30/2000 23-1978062 12/04/2000 01/03/2011 2092.19
941 12/31/2000 23-1978062 03/26/2001 04/25/2011 5680.43
******* **********'lli ************* **********i ************ ****************
Place of Filing Prothonotary
Cumberland County Total $ 8109.57
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
24th day of August
2001
the
Signature
Title Compliance Technical Support
Manager
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev, Rul. 71-466. 1971 - 2 C,B. 409) Form 668 (Z) (Rev, 10-20001
Part 1 - RECORDING OFFICE CAT, NO 600261