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Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 140601503
As provided by section 6321, &322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this llabilkT, but it remains unpaid. Therefore,
there is a lien in favor of the United S~ates on all property and rights to
properW belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that ma)' accrue.
Name of Taxpayer BLONDIE$ INN INO , a Oorporat±on
Department of the Treasury - Internal Revenue Service
For Optional Use by Recording Office
Residence
PO BOX 839
MECHANICSBURG, PA 17055-8839
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (el, this notice shall,
on the day following such date, operate as a certificate of release as defined
Tax Period Date of Last Day ~r
~nd of Tax Ending Identifying Number Assessment Re,lng
(al (b) (c) (d) (el
941 03/31/1997 23-2468088 11/08/1999 12/08/2009
941 06/30/1997 23-2468088 11/08/1999 12/08/2009
941 09/30/1997 23-2468088 11/08/1999 12/08/2009
941 12/31/1997 23-2468088 11/08/1999 12/08/2009
941 03/31/1998 23-2468088 11/08/1999 12/08/2009
941 06/30/1998 23-2468088 11/08/1999 12/08/2009
941 09/30/1998 23-2468088 11/08/1999 12/08/2009
941 12/31/1998 23-2468088 11/08/1999 12/08/2009
941 03/31/1999 23-2468088 05/12/2003 06/11/2013
941 03/31/1999 23-2468088 07/21/2003 08/20/2013
941 06/30/1999 23-2468088 05/12/2003 06/11/2013
941 06/30/1999 23-2468088 07/21/2003 08/20/2013
941 09/30/1999 23-2468088 05/12/2003 06/11/2013
941 09/30/1999 23-2468088 07/21/2003 08/20/2013
941 12/31/1999 23-2468088 05/12/2003 06/11/2013
Unpaid Balance
of Assessment
(fl
16591
13826
12016
10505
8775
11553
10319
9238
72
57
66
54
61
58
34
44
25873.48
25602.67
20602.40
12880.57
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 177786.58
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 24th day of October 2003
Sig'~re Title
~D~ ~ ~ REVENIIE OFFICER 23-11-1442
f ~HRO (717) 221-3490
(NOTE: Certificate of officer authorized by law to take acknowJedgment 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 S0025X