HomeMy WebLinkAbout01-7210 FX
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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 01- 7~D ~
Lien Unit Phone: (412) 395-5265 230183172
As provided by section 6321, 6322, and 6323 of the Internal Revenue 0Jc!l- //7
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made R...:t:1 I JDIIt:. Ie,
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 (') CJ '-,
property belonging to this taxpayer for the amount of these taxes, and c:: - u
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additional penalties, interest, and costs that may accrue. vff c::J
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Name of Taxpayer RILLOS REST INC a Corporation ::0 r~
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Residence 50 PINE STREET 3fo .....
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CARLISLE, PA 17013 c:: ~
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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).
" Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/2001 23-2370267 06/18/2001 07/18/2011 3079.61
Place of Filing
Prothonotary Total $
Cumberland County 3079.61
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
the
11th day of December
2001
Signatu~O Title .
.' ~' ,17.., ('. (), Revenue Offlcer 23-01-1439
" . w{..!~f)'l..W
for 6. 'i FA~H ~e.) t) (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 I - Kept By Recording Office CAT. NO 60025X
II