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HomeMy WebLinkAbout11-13361166.3 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 748436711 334 As provided by section 6321, 6322, and 6323 of the Internal Revenue (p 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 rqCD additional penalties, interest, and costs that may accrue. ' rr' Name of Taxpayer YE OLDE ALE HOUSE INC, a Corporation Residence 5002 CARLISLE PIKE == w MECHANICSBURG, PA 17050-2461 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice the lien is rea by the date given in column (e), this notice shall, I te on the day following such date, operate as a certificate of release as defined in IRC 6325(a). )& a Kind of Tax Tax Period Ending Identifying Number Date of Assessment Last Day for Refiling Unpaid Balance of Assessment (a) (b) (c) (d) (e) (f) 941 06/30/2009 23-1717397 12/06/2010 01/05/2021 11112.52 941 09/30/2010 23-1717397 01/03/2011 02/02/2021 10659.75 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 21772.27 This notice was prepared and signed at the 28th day of January DETROIT, MI 2011 , on this, Signature c? Title REVENUE OFFICER 22-06-1408 for MIGNA RODRIGUEZ (717) 777-9622 (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 Form 668(Y)(c) (Rev. 2-2004) CAT. NO 60025X