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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 20041
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOY ED AREA #2
Lien Unit Phone: (800) 913-605 671533310
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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 oilowing-named taxpayer. We have made
a demand for payment of this 1 bility, but it remains unpaid. Therefore,
there is a lien in favor of the nited States on all property and rights to
property belonging to this to ayer for the amount of these taxes, and C=o
additional penalties, interest, a d costs that may accrue. a `a Y
Name of Taxpayer KMS AUTO USTOMIZING LLC ny`; r r--
? ':. -? r
rrr _'-`
CS'?
Residence 3 010 MORN NGS IDE DR
CAMP HILL PA 17011-5818
IMPO
NT RELEASE INFO ATION: For each assessment listed below,
unless ne of the lien is refiled
on the f
ll
i
:d
h d y the date given in column (e), this notice shall,
ifi
f
l
o
ow
ng suc
ay
ate, operate as a cert
cate o
re
ease as defined
in IRC 5(a). •?
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending 1 entifying Number Assessment Refilling of Assessment
(a) (b) c) d (e) (f)
1120 12/31/2008 06-1735519 12/07/2009 01/06/2020 534.00
941 09/30/2008 06-1735519 04/27/2009 05/27/2013 1093.31
941 12/31/2008 06-1735519 05/04/2009 06/03/2019 954.43
Place of Filing
Protho tary
Cumberl and County Total $ 2581.74
Carlisl e, PA 17013
This notice was prepared and si ned at DETROIT, MI on this
,
,
the 24th day of Jun 2010
Signature A Title
REVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
(NOTE: Certificate of officer aut orized
Rev. Rul. 71-466, 1971 - 2 C.B. 09)
by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X