HomeMy WebLinkAbout09-3183Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
i
L
en Unit Phone: (800) 829-3903 546830109
As provided by section 6321, 6322, and 6323 of the Internal Revenue Cjt 3e, 8
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made „ a a S 33 o
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 MECHANICSBURG DINER INC
r-r
ILO
Residence 4729 OLD GETTYSBURG ROAD
MECHANICSBURG, PA 17055-4326 c`,
RELEASE INFORMATION: For each assessment listed below, ca
f the lien is refiled by the date given in column (e), this notice shall,
7
F C-D
llowing such date, operate as a certificate of release as defined
in
6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilli ng of Assessment
a) (b) (c) (d) (e) M
941
1 06/30/2008 16-1704628 12/29/2008 01/28/2019 9305.03
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 9305.03
This notice was prepared and signed at DETROIT, MI
the 12th day of May . 2009
, on this,
Signature iy ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(MW I W 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 Office CAT. NO 60025X