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Department of the Treasury - Internal Revenue Service
Form 668 (2)04) Notice of Fetleral Tax Lien p
(Rev. February 2004) ?,(? • t7 G • ?{ oZ ? FR-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 ?I,?J
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Lien Unit Phone: (800) 913-6050 455486308 .
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As provided by section 6321, 6322, and 6323 of the Internal Revenue CA- d 5
we are giving a notice that taxes (including interest and penahies)
Code
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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 alien In favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and N
D
additional penalties, interest, and costs that may accrue. a Corporation
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1 r'I" C
Name of Taxpayer TOTAL HOME CARE AND INSPECTION INC r~
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0
Residence
224 GREEN LANE DR
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CAMP HILL, PA 17011 C-,
NT RELEASE INFORMATION: For each assessment listed below, 4
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined
5(a).
IRC
Tax Period Date of Last Day f or Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
a b) (c) d) e) (f)
941 06/30/2007 13-4231258 02/11/2008 03/13/2018 3453.14
941 09/30/2007 13-4231258 04/14/2008 05/14/2018 3561.42
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 7014.56
This notice was prepared and signed at
the 08th day of July
DETROIT, MI
2008
, on this,
Signature A Title
REVENUE OFFICER 22-06-1450
for JEFFREY WHITE (717) 777-9623 x1300
(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. 2-2004)
Part I - Kept By Recording Ofe CAT. NO 60025X
Form 668 (Z) 4804 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Li
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i
Ph 1,2 P/q vb
en
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one: (800) 913-6050 455486308 j#
1 certify that the following-named taxpayer, under the requirements of section 6325 (a) ?S V
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 7
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on July 16
2008 , is authorized to note the books to show the release of this lien for
these taxes and additions. a Corporati on
K C=
Name of Taxpayer
=0
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TOTAL HOME CARE AND INSPECTION INC
Residence224 GREEN LANE DR C .
3
CAMP HILL, PA 17011 c
_
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No. /
n/a n/a n/a 08-4256FTL ?
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a b (c d e f
941 06/30/2007 13-4231258 02/11/2008 03/13/2018 3453.14
941 09/30/2007 13-4231258 04/14/2008 05/14/2018 3561.42
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 7014.56
This notice was prepared and signed at
DETROIT, MI
the 01st day of October 2008
Signature
, on this,
+c f
Title Director, Campus Compliance
Operations
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part 1 - RECORDING OFFICE CAT. NO 600261