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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
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(Rev. February 2004) .19
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S For Optional Use by Recording Office
Area: er
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SMALL BUSINESS/SELF EMPLOYED AREA #2
554785909 ?lj Tr/gifiz
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Lien Unit Phone: (800) 913-6050
As provided by section 6321, 6322, and 6323 of the internal Revenue ?? o y
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the foliowing-named taxpayer. We have made 7 a
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a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on atl property and rights to
property belonging to this taxpayer for the amount of these taxes, and c
additional penalties, interest, and costs that may accrue. a Corporation
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Name of Taxpayer THOMAS CONSTRUCTION ASSOCIATES INC .. rn-
cr, ::. cal;
Residence 155 KEN LIN DR
CARLISLE, PA 17015-9753
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IMPORTANT RELEASE INFORMATIONS For each assessment listed below, <
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 D for Unpaid Baiance
Kind of Tax Ending Identifying Number Assessmimt Refi of Assessment
940 12/31/2008 20-1215367 05/18/2009 06/17/2019 115.75
941 112/31/20081 20-1215367 03/30/2009 04/29/2019 3680.52
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 3796.27
This notice was prepared and signed at DETROIT, MI
the 09th day of June 2009
Signature
for JEFFREY WHITE
Title
REVENUE OFFICER 22-06-1450
(717) 777-9623 x1300
, on this,
(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 itlwrdMp 010ce CAT. NO 60025X