HomeMy WebLinkAbout10-0269Form 668 (Y)(c)
(Rev. February 2004)
2447
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 ):7
Lien Unit Phone: (800) 913-6050 611501809
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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Im. 4 d ?Ct I -M
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made e ICS l 3 SU
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
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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 Corporation
Residence 718 HOGESTOWN RD
MECHANICSBURG, PA 17050-2614
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined
IRC
5(a).
Tax Period Date of Last Day f or Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) ( e) (f)
941 06/30/2009 83-0394214 12/14/2009 01/13/2020 18091.96
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 18091 96
This notice was prepared and signed at
DETROIT, MI
the 29th day of December 2009
, on this,
Signature ? H 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 CAT. 668( (Rev. 2 20041
CAT. NO 60025X