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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
A Serial Number Far f c_ia: al :Ise by Recording Off'. 70
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 694870010 ?-7"
As provided by section 6321, 6322, and 6323 of the Internal Revenue l -??/
Code, we are giving a notice that taxes (including interest and penalties) -A. 0
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, -In
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there is a lien in favor of the United States on all property and rights to T(T' o
property belonging to this taxpayer for the amount of these taxes, and Z- ;. c> a
additional penalties, interest, and costs that may accrue. = z
Name of Taxpayer MAT MEN INC, a Corporation
2
?
RUSSO PAUL J 4
Residence 4 915 JONESTOWN RD
HARRISBURG, PA 17109-1705
NT RELEASE INFORMATION: For each assessment listed below,
IMPO
I9
unless e of the lien is refiled by the date given in column (e), this notice shall,
:
on the following such date, operate as a certificate of release as defined
6325(a).
in IBC
P-It' c1/
Q`
T
ax Period
Date of
Last Dayy for
Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) 0
941 03/31/2009 61-1439421 07/05/2010 08/04/2020 14733.213
941 09/30/2009 61-1439421 07/05/2010 08/04/2020 13015.29
941 12/31/2009 61-1439421 04/19/2010 05/19/2020 9543.44
941 03/31/2010 61-1439421 07/05/2010 08/04/2020
I 62.27
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
Total 1$ 37359.23
-- , cn thr S,
the 31st day of August 2010
Signature A Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
41,1011
(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. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
11883 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 694870010
I certify that the following-named taxpayer,under the requirements of section 6325(a)
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therefore, the lien provided by Code section 6321 for these taxes and
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on September 09
2010 , is authorized to note the books to show the release of this lien for r y ? c,..._ , ;
these taxes and additions.
r—
Name of Taxpayer a al
MAT MEN INC, a Corporation r-- ;
RUSSO PAUL J
mac.
Residence 4 915 JONESTOWN RD
HARRISBURG, PA 17109-1705
COURT RECORDING INFORMATION: 19,', L'
Liber Page UCC No. Serial No.
n/a n/a n/a 10-5810 FTL ,Q ' .30c' '8
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/2009 61-1439421 07/05/2010 08/04/2020 14738 .23
941 09/30/2009 61-1439421 07/05/2010 08/04/2020 13015 .29
941 12/31/2009 61-1439421 04/19/2010 05/19/2020 9543 .44
941 03/31/2010 61-1439421 07/05/2010 08/04/2020 62 .27
**************************************************************************
Place of Filing
Prothonotary
Cumberland County Total $ 37359 .23
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 25th day of December , 2013 .
Signature Title
Operations Manager,
Centralized Case Processing-Lien Unit
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part I - RECORDING OFFICE CAT. NO 600261