HomeMy WebLinkAbout11-7911Form 668 MW
(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 819119411
As provided by section 6321, 6322, and 6323 of the Internal Revenue % L
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 r-Tj (M
additional penalties, Interest, and costs that may accrue. -?
c:
Name of Taxpayer DGA INC, a Corporation
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Residence 121 N PITT ST
CARLISLE, PA 17013-2334
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 r
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in IRC 6325(a). a0' 7
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)
1120 12/31/2008 25-1580679 06/06/2011 07/06/2021 1068.00
Place of Filing
Department of the Treasury - Internal Revenue Service
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 1068.00
This notice was prepared and signed at
the 05th day of October
DETROIT, MI
2011
on this,
Signature Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN =i?5 (717) 777-9621
(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(lf)(c) (Rev. 2-20040
CAT. NO 60025X