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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOY D AREA #2
Lien Unit Phone: (800) 913-605 665297210
71-
r0
As provided by section 6321, 322, and 6323 of the Internal Revenue
Code, we are giving a notice t t taxes (including interest and penalties)
have been assessed against the ollowing-named taxpayer. We have made
a demand for payment of this bility, but it remains unpaid. Therefore,
there is a lien In favor of the nited States on all property and rights to n ;
property belonging to this ayer for the amount of these taxes, and c p T'
additional penalties, interest, a
d costs that may accrue. <•. -+
C-, C-- -
Name of Taxpayer TRUSTWORT Y RADIO LLC :
JOSEPH L G REEN JR MBR
Residence 1703 WALNU T BOTTOM RD -#? r
CARLISLE, PA 17015-9151 - =t
IMPORTANT RELEASE INFO ATION: For each assessment listed below,
unless notice of the lien is refiled the date given in column (e), this notice shall, jq.C0 ..?c
on the day following such date, per
ate as a certificate of release as defined
in IRC 6325(a). a 53 ??
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Id entifying Number Assessment Wing of Assessment
(a) (b (c (d (e (f)
940 12/31/2008 26-2914621 03/01/2010 03/31/2020 460.80
941 09/30/2008 26-2914621 02/22/2010 03/23/2020 4886.93
941 12/31/2008 26-2914621 02/22/2010 03/23/2020 16581.72
Place of Filing
Prothono tary
Cumberla nd County Total $ 21929.45
Carlisle , PA 17013
This notice was prepared and sig ed at DETROIT, MI on this
,
,
the 09th day of June 2010
Signature A Title
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. 40 )
Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X