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Department of the Treasury - Internal Revenue Service
Form 668 ( Notice of Federal Tax Lien n
(Rev. February 2 2004) 004) ?(? - aQaS IFTL
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
633469010
41q 00
PD PLFf
As provided by section 6321, 6322, and 6323 of the Internal Revenue CK,w 13a5g
Code, we are giving a notice that taxes (including interest and penalties) d39 a98
have been assessed against the following-named taxpayer. We have made
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 N
additional penalties, interest, and costs that may accrue. ?
'
_
Name of Taxpayer TECHNICAL SERVICES ASSOCIATES INC
a Corporation '
Residence 2 KACEY CT STE 201
MECHANICSBURG, PA 17055-9230
C? .5
NT RELEASE INFORMATION: For each assessment listed below,
IMPO C)
-
unless e of the lien is refiled by the date given in column (e), this notice shall,
7 X
on the following su ch date, operate as a certificate of release as defined
da
in IRC 5(a).
Tax 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 06/30/2008 23-2264503 07/27/2009 08/26/2019 627.31
941 09/30/2008 23-2264503 07/13/2009 08/12/2019 17751.01
941 12/31/2008 23-2264503 10/26/2009 11/25/2019 4480.87
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 11th day of
March
DETROIT, MI
2010
Total 1$ 22859.19
, on this,
Signature A REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
?
i cert€ty that the follow ing-named taxpayer, under the regoiremants o sec On
of the €nternal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therefore, the lien provided by Code section 6321 for these taxes and
additions has been released. The proper officer in the office where the notice of °l
internal revenue tax lien was filed on _ March 2
2010 , is authorized to mate the books to show the release of this lien for r
these taxes and additions.
Kartte 0' Taxpayer
TECHNICAL SERVICES ASSOCIATES INC, a Corporation
Residence 2 KACEY CT STE 201.
M CHANICSDURG, A 17055®9230
COURT RECORDING INFORNU=ON:
Liter Page UCC No. Serial No.
n/a n/a n /a 10-202 TL
Tax Period ate of
Kind of Tax Ending Identifying Number Assessment
(a) (f [c] tdJ
941 06/30/'2008 23?-2264503 07/27/2009
941 09/30/2008 23-2264503 07/13/2009
941 1 ,/31/2008 23-2264503 10/26/2009
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Last Div for
08/26/2019
0.8/12/2019
11/25!2019
This € offce was prepared and signed at
DETROIT, MI
the 27th day of October 2010
n aid glance
of Assessment
62°7.31
17751.01
44801 e 87
Total 1
22859.19
, on this,