HomeMy WebLinkAbout11-5010Form 668 M(c)
(Rev. February 2004)
12183
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 792565211
Internal Revenue
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As provided by section 6321,
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 rn c-. M-
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property belonging to this taxpayer for the amount of these taxes, and uirr-?
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additional penalties, Interest, and costs that may accrue. -< -- 3 `'
Name of Taxpayer ALMA HEALTH LLC, a Corporation ? =0
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Residence 19 BROOKWOOD AVENUE {
CARLISLE, PA 17015
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
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on the day following such date, operate as a certificate of release as defined
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
6721 12/31/2008 20-2658539 04/11/2011 05/11/2021 3950.00
941 03/31/2010 20-2658539 09/20/2010 10/20/2020 67284.20
941 06/30/2010 20-2658539 11/15/2010 12/15/2020 146952.98
941 09/30/2010 20-2658539 01/03/2011 02/02/2021 84353.02
941 12/31/2010 20-2658539 03/28/2011 04/27/2021 53333.13
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 355873.33
This notice was prepared and signed at
the 10th day of June
DETROIT, MI
2011
, on this,
Signature Title
REVENUE OFFICER 22-06-1441
for DENNIS P ZMUDZIN (717) 777-9624
(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. 2-20041
CAT. NO 60025X