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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 747829711
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, c
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 ? M rn
additional penalties, interest, and costs that may accrue. err-- ' -ern
Name of Taxpayer OLDE FORGE BUILDERS-NEWVILLE INC - ,D
a Corporation
n
Residence 9 KEYSTONE DR o
-a1
MECHANICSBURG, PA 17050-1571
NT RELEASE INFORMATION: For each assessment listed below,
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
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RC
i
n I 5(a). /? oZ S?l?S?l
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 12/31/2008 20-1856683 10/04/2010 11/03/2020 3182.33
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 3182.33
This notice was prepared and signed at
the 27th day of
DETROIT, MI
January 2011
, on this,
Signature Title
REVENUE OFFICER 22-06-1413
for LINDSEY O BOWLIN (717) 777-9623
(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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2 2004)
CAT. NO 60025X
11883 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
(Rev. 10-20001 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 747829711 -??
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 C o _n
internal revenue tax lien was filed on February 04 -a3 = z
2011 , is authorized to note the books to show the release of this lien for I-rn rr1
,--,
these taxes and additions.
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-Lim
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Name of Taxpayer --? ??
OLDE FORGE BUILDERS-NEWVILLE INC, a Corporation 1= 20 -n
o
Residence 9 KEYSTONE DR
MECHANICSBURG, PA 17050-1571
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
"?0
n/a n/a n/a 11-1327FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment R efiling of Assessment
(a (b) c) (d (e (f
941 12/31/2008 20-1856683 10/04/2010 11/03/2020 3182.33
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 3182.33
This notice was prepared and signed at
the 23rd day of March
Signature
, on this,
Title Director, Campus Compliance
Operations
(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)
Part 1 - RECORDING OFFICE Form 668 (Z) 10-200
CAT. NO 600261
1
DETROIT, MI
2011
W/