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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA 42
Lien Unit Phone: (800) 913-6050 758406311
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
y - r •.
property belonging to this taxpayer for the amount of these taxes
and `?==
,
additional penalties, interest, and costs that may accrue i ;
.
Name of Taxpayer CONFIT ON MARKET LLC, a Corporation - A CD
MATTHEW GAMBER MBR ^
i
Residence 2138 MARKET ST -
CAMP HILL, PA 17011-4799 c--:
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice the lien is refil by the date given in column (e), this notice shall,
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on
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ay
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ng such date, operate as a certificate of release as defined ,?
in IRC 6325(a). At* 35607
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) M
941 09/30/2009 77-0696835 01/11/2010 02/10/2020 6860.93
941 12/31/2009 77-0696835 04/12/2010 05/12/2020 10841.43
941 06/30/2010 77-0696835 10/11/2010 11/10/2020 13171.98
941 09/30/2010 77-0696835 01/03/2011 02/02/2021 10077.40
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 40951.74
This notice was prepared and signed at
DETROIT, MI
the 23rd day of February 2011.
, on this,
Signature Title
t? 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