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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) ),U . 09_ j7kg F TL.
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2 1 o
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P R1g0'r)
Lien Unit Phone: (800) 913-6050 552215709 l
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As provided by section 6321, 6322, and 6323 of the Internal Revenue C', S'f
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 G 3 ?7
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.
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Name of Taxpayer ICEBOX SERVICES , a Corporation :
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Residence 717 MARKET STREET
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3
LEMOYNE, PA 17043-1581
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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 (a), 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 Re cling of Assessment
(a) (b) (c) (d (e) f)
940 12/31/2008 26-2027227 05/11/2009 06/10/2019 2434.54
941 12/31/2008 26-2027227 05/04/2009 06/03/2019 38074.07
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 40508.61
This notice was prepared and signed at DETROIT, MI
the 29th day of May 2009
, on this,
Signature -)? A 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 I - Kent Ev Rer-ordln+r Office reT Kin anm;;x