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Form 66~ (Y)(c)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 170318104
As provided by section 632t, 6322, and 6323 of the Internal Revenue
Code, we are I~Mng a notice that C~xes (including imerest and penalties)
have been assessed against the following-named ~xpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the Uuked SuCes on all property and rights co
property belonging to this Uxpayer for the amoum o[ these ~axes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer 935 LIMITED INC , a Corporation
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
~FI~.DY- ~o/~' /rTL
For Optional Use by Recording Office
Residence
152 REGENCY WOODS N
CARLISLE, PA 17013-9069
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 da,/ following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period
~nd ~ Tax Ending Identifying Number
(a) (b) (c)
940 12/31/2002 30-0003158
940 12/31/2003 30-0003158
941 12/31/2002 30-0003158
941 03/31/2003 30-0003158
941 06/30/2003 30-0003158
941 09/30/2003 30-0003158
941 12/31/2003 30-0003158
Date of Mst Day Mr Unpaid Balance
Assessment Refi~ng of Assessment
(d) (e) (f)
03/08/2004 04/07/2014 774.03
04/05/2004 05/05/2014 554.26
03/08/2004 04/07/2014 934.66
03/08/2004 04/07/2014 10406.92
03/08/2004 04/07/2014 10560.34
03/08/2004 04/07/2014 8371.74
03/22/2004 04/21/2014 6689.93
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total. $ 38291.88
This notice was prepared and signed at
PHILADELPHIA, PA
· on this,
the 29th day of April 2004
Signat~ . Title
(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 ~68(Y)(c) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X