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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notico 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
569253109
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As provided by section 6321, 6322, and 6323 of the Internal Revenue q y
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made .2 8,9 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. '
Name of Taxpayer APPLE DUMPLING GROUP INC a Corporati on
_
Residence 718 HOGESTOWN RD _ r
MECHANICSBURG, PA 17050-2614 y
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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
in IRC 6325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Reflling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) M
940 12/31/2004 83-0394214 06/29/2009 07/29/2019 527.73
940 12/31/2006 83-0394214 06/22/2009 07/22/2019 1530.30
940 12/31/2007 83-0394214 06/22/2009 07/22/2019 1081.10
940 12/31/2008 83-0394214 04/20/2009 05/20/2019 901.16
941 12/31/2008 83-0394214 03/16/2009 04/15/2019 19055.02
941 03/31/2009 83-0394214 06/29/2009 07/29/2019 14029.89
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 37125.20
This notice was prepared and signed at DETROIT, MI
the 30th day of July 2009
, on this,
Signature / H yk"? Title
REVENUE OFFICER 22-06-1441
for DENNIS P ZMUDZIN (717) 777-9624
(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)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X