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HomeMy WebLinkAbout10-6001Form 668 (Y)(c) (Rev. February 2044) 1 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 698418210 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, o there is a lien in favor of the United States on all property and rights to `'n property belonging to this taxpayer for the amount of these taxes, and -? C= additional penalties, interest, and costs that may accrue. MCO C/7 M ..--. r ° ' Name of Taxpayer PRO-JAK INC,, a Corporation r s t tea) Z -<> r? - .? -ICJ ro .a -- Residence 398 N YORK .3T Z© C:) n O? MECHANICSBURG, PA 17055-6260 y N ?rn T RE ASE INFORMATION: For each assessment listed below, of the n is r efiled by the date given in column (e), this notice shall, 7 l E n ollowisuch date, operate as a certificate of release as defined IRE x). ?/oy;z '/' Tax Period Date of Last Da for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment (a) (b) (c) (d) (e) (f) 941 03/31/2009 25-1685279 08/16/2010 09/15/2020 38657.86 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 38657.86 This notice was prepared and signed at DETROIT, MI the 10th day of September 2010 , on this, Signature REVENUE OFFICER 22-06-1441 for DENNIS P ZMUDZIN (717) 777-9624 (NOTE: Certificate of officer authorized by law to take acknowledgment is riot 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