HomeMy WebLinkAbout10-2123Form 668 (Y)(c)
(Rev. February 2004)
4
Department of the Treasury - Internal Revenue Service F'.G
Notice of Federal Tax Lien 10 _a 18134a.&Tpn.
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #k2
Lien Unit Phone: (800) 913-6050
636164210
41q.00
po PLFF
As provided by section 6321, 6322, and 6323 of the Internal Revenue Cac-? 134y?
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made o1.314 5y7
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. s
?i
Name of Taxpayer BLONDIES INN INC, a Corporation Fn
a,
Residence 49 W HIGH ST
' '
CARLISLE, PA 17013-2923 c_= c?a
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) (e) (f)
941 09/30/2007 23-2468088 12/31/2007 01/30/2018 1427.00
941 06/30/2009 23-2468088 09/28/2009 10/28/2019 1092.71
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $
This notice was prepared and signed at
the 19th day of March
DETROIT, MI
2519.71
2010
on this,
Signature A 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) Form 668M(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X