HomeMy WebLinkAbout11-8214Form 668 MW
(Rev. February 2004)
11883
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 822877411 7
As provided by section 6321, 6322, and 6323 of the Internal Revenue 1
1 ? y ?
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made c
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 -
additional penalties, interest, and costs that may accrue.
Name of Taxpayer CONFIT ON MARKET LLC = =
MATTHEW GAMBER MBR ?-
m
Residence 2138 MARKET STREET
CAMP HILL, PA 17011-4799
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,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). (SSG)
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refili ng of Assessment
(a) (b) (c) (d) (e) (f)
1065 12/31/2009 77-0696835 08/15/2011 09/14/2021 1780.00
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 1780.00
This notice was prepared and signed at
the 21st day of October
DETROIT, MI
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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT, NO 60025X