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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(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 860595612
1. `6S-
y
As provided by section 6321, 6322, and 6323 of the Internal Revenue d
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. ro ^' -
Name of Taxpayer PHELARO, a Corporation
60
Residence 735 S HANOVER ST
C:) --n
CARLISLE, PA 17013-4106 -'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ?r rv
unless notice of the lien is refiled by the date given in column (e), this notice shall,
r
on the day following such date, operate as a certificate of release as defined
C 63
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)
1120 12/31/2009 23-2097124 02/27/2012 03/29/2022 14140.71
1120 12/31/2010 23-2097124 02/27/2012 03/29/2022 13168.50
Place of Filing
Prothonotary
Cumberland County
Carlisle. PA 17013
Total 1$ 27309.21
This notice was prepared and signed at V DETROIT, MI
the 11th day of April 2012
, 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) Form 668(Y)(c) fRev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X