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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 7;'& hi.
Lien Unit Phone: (412) 395-5265 230183049 Dl-
As provided by section 6321, 6322, and 6323 of the Internal Revenue C,.L4. /17
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the fOllowing-named taxpayer. We have made R~ I J.C>J(_Y
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
a Corporation
(') c. C)
C _.
Residence -~ 'Tl
6355 BASHORE RD :>", 0
-om "".1
MECHANICSBURG, 17055-2802 52rTi ;"1'1 -~-
PA :D ,-, -:...-~ ~'n
zr;:; N ,1'--n
cn",~ co "".,---,
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~:=.:', ~~~f
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unless notice of the lien is refiled by the date given in column (e), this notice shall, );i:
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on the day following such date, operate as a certificate of release as defined Pc S3
in IRC 6325(a).
Z . ~
t Tax Period Date of Last Da.r. for -<Un.,sn. B~nce
Kind of T!iX .. Ending Identifying Number Assessment Refi IIlg of Assessment
(a) (b) (c) (d) (e) (0
6721 12/31/1998 25-1691977 04/02/2001 05/02/2011 1230.00
,
Place of Filing
Prothonotary Total $
Cumberland County 1230.00
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
the
06th d@y of December
2001
Signa e ..~" (} fk& Title. 23-01-1441
( tr'7 >'" ''" A .A. Revenue Off~cer
for D. li'liili5z ~ ' I f''''-A/FV (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. 10.001
Part 1 . Kept By Recording Office CAT. NO 60025X
.
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