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Department of the Treasury - Internal Revenue Service
Fo m 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 141293303
As provided by section &3Zl, &3ZZ, and 63Z~ 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 liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on ali 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 EAST COAST CUSTOM AUTO BODY & COLLISIO~ INC
a Corporation
Residence
PO BOX 245
CHAMBERSBURG, PA 17201-0245
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
Kind of Tax Ending Identifying Number Assessment
(a) (b) (c) (d)
941 06/30/2003 25-1703138 10/06/2003
For Optional Use by Recording-- ..~ ~-!
Last Day for Unpaid Balance
Retiring of Assessment
(e) (f)
11/05/2013 3711.03
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 3711.03
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 29th day of October 2003
REVENUE OFFICER 23-11-1450
f~ ~ITEr]' (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 &AS(Y)(¢) (Rev. 10-00)
Pa~t ! - Kept By Recording Office CAT. NO 60025X