HomeMy WebLinkAbout07-4839Form 668 (Y)(c)
(Rev. February 20041
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~~ ~ 7. y ~ 3 g F rL
A Serial Number For Optional Use by Recording Office
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SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
381853307
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) ~ /G G 3
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, /~ ~ 4~ 9~0
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. a corporation c
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Name of Taxpayer LAKEVIEW HOME HEALTH SERVICES INC -~ ~~
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Residence 437 E NORTH ST
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CARLISLE, PA 17013-2620 - ~ ~?
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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 D for
~ unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi
ng of Assessment
(a (b) (c) (d) (e) (f
941 12/31/2004 25-1734725 04/18/2005 05/18/2015
941 12/31/2004 25-1734725 02/26/2007 03/28/2017 940.50
941 06/30/2005 25-1734725 04/30/2007 05/30/2017 50988.41
941 03/31/2007 25-1734725 07/02/2007 08/01/2017 561.18
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 52490.09
This notice was prepared and signed at
the 01st day of August
DETROIT, MI
2007
on this,
Signature ~ A ~YZ~~ Title
REVENUE OFFICER 22-06-1450
for JEFFREY WHITE (717) 777-9623 x2300
(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)(t) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X