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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
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 687230410
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
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.
axpayer ABOSHUSHA INC, a Corporat
COUNTRY CLUB DINER
Residence 1251 HARRISBURG PIKE
CARLISLE, PA 17013-1621
For Optional Use by Recording Office
10.53-71 /::? "L
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (a), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). At* .211QU
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) e)
940 12/31/2009 26-4163023 04/05/2010 05/05/2020 673.82
941 12/31/2009 26-4163023 03/22/2010 04/21/2020 293.00
Place of Filing
c_
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 966.82
This notice was prepared and signed at
the 10th day of August
DETROIT, MI
2010
, on this,
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 i ax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 66SM(c) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X