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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004) 72b-U9- 37
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 ?
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Lien Unit Phone: (800) 913-6050 552215609 ?
As provided by section 6321, 6322, and 6323 of the Internal Revenue 5 y ?s
Code, we are giving a notice that taxes (including interest and penalties) a a 3q4
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 aN 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 BUBBAS SERVICES , a Corporation
Residence 717 MARKET STREET -!
LEMOYNE, PA 17043-1581 0 !V
114PORTANT RELEASE INFORMATION: For each assessment listed below, C>
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 Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a b (c) d e) (f)
940 12/31/2008 26-2027133 05/11/2009 06/10/2019 1478.95
941 06/30/2008 26-2027133 10/13/2008 11/12/2018 39738.37
941 09/30/2008 26-2027133 12/29/2008 01/28/2019 46778.20
941 12/31/2008 26-2027133 04/06/2009 05/06/2019 37744.60
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 125740.12
This notice was prepared and signed at
the 29th day of May
DETROIT, MI
2009
, on this,
Signature Title
REVENUE OFFICER 22-06-2442
for D. RAMOS (717) 875-9959
(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 66SM(c) (Rev. 2-2004)
Part 1 - Kept By Recording O/flce - - - - - - - -