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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 Ol- 1J.D7 ' }:.,I-..
Lien Unit Phone: (412) 395-5265 230183048
As provided by section 6321, 6322, and 6323 of the Internal Revenue C-"- -4L II 7
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made p...:tJ... /';J.OI~
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 CUMBERLAND VALLEY EXCAVATING INC 0 0
a Corporation c - 0
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'U-c 0 ~:-j
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Residence 6355 BASHORE RD ZT n ---\.:;n
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MECHANICSBURG, PA 17055-2802 ~2~ co ~'"':JO
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, 20 :Jl:
....0 '2 7(')
unless notice of the lien is' refiled by the date given in column (e), this notice shall, Pc: Om
on the day following such date, operate as a certificate of release as defined Z N b2
in IRC 6325(a). . ::< .;::- 5:;
-<
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
940 - 12/31/1995 25-1691977 10/28/1996 11/27/2006
940 . 12/31/1995 25-1691977 04/05/1999 05/05/2009 1354.28
940; . 12/31/1996 25-1691977 03/17/1997 04/16/2007
940 12/31/1996 25-1691977 04/05/1999 05/05/2009 4047.06
940 12/31/1997 25-1691977 03/16/1998 04/15/2008
940'" 12/31/1997 25-1691977 04/03/2000 05/03/2010 646.44
940' . 12/31/1998 25-1691977 07/05/1999 08/04/2009 1646.51
9401 12/31/1999 25-1691977 03/13/2000 04/12/2010 786.86
941 12/31/1997 25-1691977 03/16/1998 04/15/2008 26832.85
941 06/30/1998 25-1691977 09/07/1998 10/07/2008 25559.36
941 12/31/1998 25-1691977 06/28/1999 07/28/2009 404.04
941 03/31/1999 25-1691977 07/05/1999 08/04/2009 7516.74
941 06/30/1999 25..1691977 03/06/2000 04/05/2010 26618.04
941 09/30/1999 25-1691977 03/06/2000 04/05/2010 38587.11
941 12/31/1999 25-1691977 04/10/2000 05/10/2010 13035.60
Place of Filing
Prothonotary Total $
Cumberland County 147034.89
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
06th day of December
2001
the
'-
SignVr /0t/i~ f\ C5-&Il1.-t1 N'l, ~~~enue Officer 23-01-1441
for D. ZMUDZIN V'0' (717) 221-3490
(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. 409) Form 668(Y)(c) (Rev. 10.00)
Part 1 - Kept By Recording Office CAT. NO 60025X
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