HomeMy WebLinkAbout09-62922447
Department of the Treasury - Internal Revenue Service
Form 668 (20(4) Notice of Federal Tax Lien Q
(Rev. February 2004) n0 ? F, G z 9Z
mber
l N
i
S For Optional Use by Recording Office
Area: u
er
a
SMALL BUSINESS/SELF EMPLOYED AREA #2 1ffJ • J?,u?
d
Lien Unit Phone: (800) 913-6050 580791209 ,
As provided by section 6321, 6322, and 6323 of the Internal Revenue OL Pb 4 9
Code, we are giving a notice that taxes (including interest and penalties)
d
-7 30
e
have been assessed against the following-named taxpayer. We have ma je
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 c ? d
additional penahies, interest, and costs that may accrue.
M
Name of Taxpayer DGA INC, a Corporation
v .. N
= -°?
Residence
121 N PITT ST
CARLISLE, PA 17013-2334 ,-
n
:1? c
-
CD
ORTANT RELEASE INFORMATION: For each assessment listed below,
s notice of the lien is refiled by the date given in column (e), this notice shall,
E
he day following such date, operate as a certificate of release as defined
o
C 6325(a).
in
Ta x Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
941 09/30/2008 25-1580679 08/17/2009 09/16/2019 4330.85
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
Total 1$ 4330.85
, on this,
the 11th day of September 2009 -T? Signature H Title
REVENUE OFFICER 22-06-1442
for DAVID M. SHROYER (717) 777-9625 x1320
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal lax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 666(Y)(e) (Rev. 2-2004)
Part 11 - Kept By Recording Office CAT. NO 60025X