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HomeMy WebLinkAbout11-8515P, Form 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 826680511 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. ;Zrn © -n rn Name of Taxpayer DGA INC, a Corporation C7 Residence 121 N PITT ST ?- CARLISLE, PA 17013-2334 N nz 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, /63 0 4 L`. on the day following such date, operate as a certificate of release as defined r in IRC 6325(a). --? & -)o;? V3 Kind of Tax Tax Period Ending Identifying Number Date of Assessment Last Dayy for Refiiing Unpaid Balance of Assessment (a) (b) (c) (d) (e) (f) 941 06/30/2011 25-1580679 10/17/2011 11/16/2021 6619.22 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 6619.22 This notice was prepared and signed at DETROIT, MI the 04th day of November 2011 , on this, Signature Title REVENUE OFFICER 22-06-1418 for JAKOB PEDERSEN (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(Y)(c) (Rev. 2-2004)