HomeMy WebLinkAbout10-5483 11883
Department of the Treasury - Internal Revenue Service
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(2)0
668
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Notice of Federal Tax Lien
(
ev. Februa
2004)
ry
(Rev.
ti nal Use by Recording Office
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er
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Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
6877
12810
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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 folbwing-named taxpayer. We have nude
a demand for payment of this liability, but it remains unpaid- Therefore,
States on all property and rights, to
there is a lien in favor of the United
.
roperty belonging to this taxpayer for the amount of these taxes, and
p
additional penalties, Interest, and costs that may accrue. ` - -,
Narne. of Taxpayer MARY E HOOPER
CRIMSON FROG COFFEEHOUSE
. , yU
Residence 1104 CARLISLE ROAD
CAMP HILL, PA 17011-6203
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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,
erate as a certificate of release as defined
o
t
h d
C
p
a
e,
on the day following suc Z
?
in IRC 6325(a). a
Find of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last D y for
ReflNng Unpaid Balance
n nt
(a) b c
02
2928
941 12/31/2008 20-1551268 07/26/2010 08/25/2024 .
941 03/31/2009 20-1551268
1268 07/26/2010
07/26/2010 08/25/2020
08/25/2020 3691.97
3932.38
941
941 06/30/2009
09/30/2009 20-155
20-1551268 07/26/2010 08/25/2026 4922.14
941 12/31/2009 20-1551268
268 07/26/2010
07/26/2010 08/25/2020
08/25/2020 3873.31
3852.29
941 03/31/2010 20-1551
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
the 11th day of August
Total ?$ 23200.11
, on this,
2010
Signature A Title 22-06-1418
REVENUE OFFICER
f- ,TAWOR PEDERSEN (717) 777-9621
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of i-eaerai i ax nen
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(e) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X