HomeMy WebLinkAbout09-0515Form 668 (Y)(c)
(Rev. February 2004)
466
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien h ~ ~ 9 _ ~, ~ F r ~.
Area Serial Number For Optional Use by Recordin Office
SMALL BUSINESS/SELF EMPLOYED. AREA #2 ~ ~~~ ~
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Lien Unit Phone: (800) 913-6050 509537409 Y
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As pravWed by section 6321, 6322, and 6323 of the Internal Revenuue ~ ais!
Code, we are giving a notice that taxes (including interest and penaldes)
have been assessed against the following-named taxpayer. We have made ~ ,~~ a ,~ y I
a demand for payment of this liability, but it remains unpaid. Therefore, ,,,~,
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there ~ a lien in favor of the United States on all property and rights to - -- ~ '
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property belonging to this taxpayer for the amount of these taxes, and
additiw~al penahks, interest, and costs that may aurae. ~ -, ,-,-;
Name of Taxpayer ROCK N MOO INC a Corporation tV j
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Residence 415 ST JOHNS CHURCH ROAD STE 205 '
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CAMP HILL, PA 17011-5742 _
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in co{umn le), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 63251a).
Tax Period Date of Last
D~- for unpaid Balance
Kind of Tax Endh~g Identifying Number Assessment _
g of Assessment
a b c d e
941 09/30/2008 20-5657306 12/29/2008 01/28/2019 16966.76
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $
This notice was prepared and signed at
DETROIT, MI
16966.76
on this,
the 21st day of January 2009
Signature A Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of teaerai i ax nen
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 -Kept fdy RlWrdina OAke Form bb8(lf)AT. NO 60028X41