HomeMy WebLinkAbout10-0716Form 668 (Y)(c)
(Rev. February 2004)
4
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
Ph
Li
i
U
618109210 1
one: (800) 913-6050
en
n
t
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made P9. 0e)
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 3 l.RLO
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue.
Name of Taxpayer CAPTAIN EXPRESS PIZZA INC
a Corporation
Residence 4824 FRANKFORD AVE
PHILADELPHIA, PA 19124-2606
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).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) d) (0) M
941 09/30/2009 20-4134656 01/04/2010 02/0 3/2020 2376.64
C"a ru
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 2376.64
This notice was prepared and signed at
the 20th day of January
DETROIT, MI
2010
, on this,
Signature H ?YZ? Title
REVENUE OFFICER 22-08-1715
for MILDRED PATRICK (215) 861-1479
(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(1 (Rev. 2 20041
CAT. NO 60025X