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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) 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 704227310 7L
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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 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. a
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Name of Taxpayer YE OLDE ALE HOUSE INC, a Corporation °
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Residence
5002 CARLISLE PIKE
CD --4 CD
MECHANICSBURG, PA 17050-2461 Ao -
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, G?
unless notice of the lien is refiled by the date given in column (e), this notice shall,
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fined
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on the day following such date, operate as a cer / v
in IRC 6325(a).
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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)
940 12/31/2008 23-1717397 03/29/2010 04/28/2020 1538.30
941 09/30/2007 23-1717397 12/07/2009 01/06/2020 36883.25
941 12/31/2007 23-1717397 12/07/2009 01/06/2020 30180.71
941 03/31/2008 23-1717397 02/22/2010 03/23/2020 32931.50
941 06/30/2008 23-1717397 02/15/2010 03/16/2020 29327.19
941 09/30/2008 23-1717397 02/15/2010 03/16/2020 31731.51
941 12/31/2008 23-1717397 03/08/2010 04/07/2020 26173.25
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 18876S.71
This notice was prepared and signed at DETROIT, MI
the 27th day of September, 2010
, on this,
?9. )?/ Signature Title
REVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
(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. 2-20041
Part 1 - Kept By Recording Office CAT. NO 60025X