HomeMy WebLinkAbout09-4805Form 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
Lien Unit Phone: (800) 913-6050
L 563862209 Q? p
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As provided by section 6321, 6322, and 6323 of the Internal Revenue (0 3,0 9
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made yam. ,? a P 18b
a demand for payment of this liability, but it remains unpaid. Therefore, 4
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 C-
additional penalties, interest, and costs that may accrue. a corporation
65 N
Name of Taxpayer PROFESSIONAL BOWLING INSTRCTION INC . Q -
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Residence 72 PINE RIDGE CIR ;1'x1
ENOLA, PA 17025-2057 w
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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 (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
o
i
n I 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2003 23-2873461 09/11/2006 10/11/2016 3510.20
941 12/31/2003 23-2873461 05/10/2004 06/09/2014
941 12/31/2003 23-2873461 05/15/2006 06/14/2016 7185.75
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 10695.95
This notice was prepared and signed at
the
Signature
f? fi. 1Y? Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
09th day of July
DETROIT, MI
2009
, 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 I -Kept BY Recording Of?ite CAT. NO 60025X