HomeMy WebLinkAbout11-3988Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
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 779355111 ?L
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.
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Name of Taxpayer CONFIT ON MARKET LLC C
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MATTHEW GAMBER MBR M? ?-,.:
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Residence 2138 MARKET STREET .?* W
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CAMP HILL, PA 17011-4799 E` -
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MPORTANT RELEASE INFORMATION: For each assessment listed below,
. 7A,
nless notice of the lien is refilled by the date given in column (e), this notice shall,
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n the day following such date, operate as a certificate of release as defined
ion
IRC 6325(
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilli ng of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2010 77-0696835 04/04/2011 05/04/2021 211.16
941 12/31/2010 77-0696835 04/04/2011 05/04/2021 3467.08
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 3678.24
This notice was prepared and signed at
the 22nd day of April
DETROIT, MI
2011
, on this,
Signature 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