HomeMy WebLinkAbout10-5997Form 668 (Y)(c)
(Rev. February 2e004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 698417510 ?L
R Io -599
evenue
As provided by section 6321, 6322, and 6323 of the Internal
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. -n
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Name of Taxpayer SHIPPENSBURG TRAVEL CENTER INC 'ate s° S-r1
a Corporation zM M '
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Residence 15 HERSHEY RD ?
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SHIPPENSBURG, PA 17257-9407 C:)-n
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NT RELEASE INFORMATION: For each assessment listed below, O iV
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e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined -'?-
5(a). Lp n
Tax Period
e of
Dat
Last Day for
Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re filling of Assessment
(a) (b) (c) (d) (e) (f)
944 12/31/2009
1 26-1547127 04/26/2010 05/26/2020 4802.15
Place of Filing
Prothonotary
Cumberland. County
Carlisle, PA 17013
Total 1 $ 4802.15
This notice was prepared and signed at DETROIT, MI
the 10th day of September , 2010
, on this,
Signature )`-?'? -Y?? Title
/) REVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
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(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 t - Kept By Recording Office CAT. NO 60025X