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Department of the Treasury - Internal Revenue Service
Farm 66 (Y
Notice of Federal Tax Lien
fRev. February a ry 2004F 4)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 710774910 /D`
c?
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, ? --f
there Is a lien In favor of the united States on all property and rights to M o m" l
property belonging to this taxpayer for the amount of these taxes, and ", ---a --car-
additional penalties, interest, and costs that may accrue. ? ?
--4
Name of Taxpayer CONSTRUCTION SERVICES UNLIMITED LLC C C:)
JAMES R LINN MBR 3> C-) =-1 :Z-r?
-
a Corporation C )
lu 6 C
Residence 110 3RD STREET A Cn
NEW CUMBERLAND, PA 17070-2131 rv
NT RELEASE INFORMATION: For each assessment listed below,
%
?
?
e of the lien is refiled by the date given in column (e), this notice shall,
F Ig /° ??? C
LI'G
following such date, operate as a certificate of release as defined
t
I
5(a).
RC
Tax Period Dat e of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2010 20-5991505 09/20/2010 10/20/2020 30752.53
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 30752.53
This notice was prepared and signed at DETROIT, MI
the 15th day of October 2010
, on this,
Signature Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY =i5 t (717) 777-9626
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Form 668( (Rev. )
Rev. Rul. 71-466,1971 - 2 C.B. 409) Part 1 - Kept By Recording Office CAT. NO 60025X
025X
CAT