HomeMy WebLinkAbout03-5508Form 668 (Y)(c)
(Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA ~3
Lien Unit Phone: (412) 395-5265 138305603
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are airing a notice that Uxes (including interest and penalties)
have been assessed apinst the following-named Uxpayer. We have made
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 belonsing to this ~axpayeF for the amount of these Uxes, and
additional penalties, interest, and costs that may accFue.
Name of Taxpayer GINGERBREkD [VL~ OF SHIPPENSBURG a Corporation
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
%~ . 0 3. _'~' .~ 0 %
For Optional Use by Recording Office
13 EAST KING STREET
SHIPPENSBURG, PA 17257-1307
ItqFORTANT 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 Day for Unpaid Balance
~nd of Tax Ending Identi~jing Number Assessment Reflling of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2002 25-15 9410 04/21/2003 05/21/2013 32 .47
941 09/30/2002 25-1569410 01/27/2003 02/26/2013 6201.18
941 12/31/2002 25-1569410 03/31/2003 04/30/2013 4293.70
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ 10824.35
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 09th day of October 2003
Signature , ~ Title
~ ~.~._~ /~ ~ REVENUE OFFICER 23-11-1450
for ~,~,F~~E . .* (717) 221-3490
([~OTE: 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
Form 668 (Z)
IRev. 10-2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 138305603
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 October 17
2003 , is authorized to note the books to show the release of this lien for
these taxes and additions, a Corporaticn
Name of Taxpayer
GINGERBREAD MAN OF SHIPPENSBURG
1008 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Residence13 EAST KING STREET
SHIPPENSBURG, PA 17257-1307
COURT RECORDING INFORMATION:
For Use by Recording Office
Liber Page UCC No. Serial No.
n/a n/a n/a NO03-5508FTL
Tax Period Date of Mst Day ~r Un~id Balance
Kind of Tax Ending Identifying Number Assessment Refi~ng of Assessment
fa) (b) (c) [d) re/ ~
940 12/31/2002 25-1569410 04/21/2003 05/21/2013 329.47
941 09/30/2002 25-1569410 01/27/2003 02/26/2013 6201.18
941 12/31/2002 25-1569410 03/31/2003 04/30/2013 4293.70
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 10824.35
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 07th day of July 2004.
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax llen Rev. Rul. 717469, 1971 - 2 C.B. 409) Form 6&8 (Z) (Rev. 10-2000)
Parr ] - RECORDING OFFICE
CAT. NO 600261