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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien 0 ~' - ?~5 d FrZ
IRev.February 20041
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 495063808
As provided by section 6321, 6322, 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 liability, but it remains unpaid. Therefore,
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.
Name of Taxpayer CR
a corporation
Residence 555 BOSLER AVE
LEMOVNE, PA 17043-1815
For Optional Use by Recording Office
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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
Kind of Tax Ending Identifying Number Assessment Refi~ng
(a) (b) (c) (d) (e)
941 12/31/2007 77-0633198 09/15/2008 10/15/2018
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 257876.86
This notice was prepared and signed at
DETROIT, MI
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Unpaid Balance
of Assessment
257876.86
on this,
the 18th day of November 2008
Signature A Title
REVENUE OFFICER 22-06-1441
for DENNIS P ZMUDZIN (717) 777-9624
(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(n(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X