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Form 668 (Y)(c)
M' w. rf?bruary 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Ose by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 692825810 72"
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 c
property belonging to this taxpayer for the amount of these taxes, and
additiolnal penalties, interest, and costs that may accrue. r 10
Name of Taxpayer HARKINS CONSTRUCTION INC
a Corporation _ r-
-v
5
Residence 1716 MAIN ST `P C t;?
LISBURN, PA 17055-5945 N
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p
.
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
7 19,p??G(.'I tosl?v `i
following such date, operate as a certificate of release as defined
RC
5(a).
Tax Period Date of Last Day fo r Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
5721 12/31/2006 23-2805654 09/07/2009 10/07/2019 7154.80
940 12/31/2007 23-2805654 05/25/2009 06/24/2019 178.64
941 12/31/2006 23-2805654 12/14/2009 01/13/2020 10657.78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ($ 17991.22
This notice was prepared and signed at
the 26th day of August
DETROIT, MI
2010
, on this,
Signature ?Y- Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notic? of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office CAT. 6168( (Rev. 2 2004}
CAT. NO 60025x