HomeMy WebLinkAbout12-3100Form 668 (Y)(c)
(Rev. February 2004)
4804
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 F'TL
?a- 3100
Lien Unit Phone: (800) 913-6050 865196412
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, CD
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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
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171-1
additional penalties, interest, and costs that may accrue. V,
.
Name of Taxpayer M A D MIRACLES INC, a Corporation -a
_..1,
CURVES FOR WOMEN
Residence 6 SKYPORT ROAD a- "
MECHANICSBURG, PA 17050-0000 -
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refilled by the date given in column (e), this notice shall, a1.5O PA ET
on the day following such date, operate as a certificate of release as defined
on
IRC 6325(a). Q,* C276313
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) M
941 06/30/2011 25-1873743 10/03/2011 11/02/2021 3182.26
941 09/30/2011 25-1873743 01/09/2012 02/08/2022 3919.32
941 12/31/2011 25-1873743 04/02/2012 05/02/2022 2424.73
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 9526.31
This notice was prepared and signed at
the 02nd day of may
DETROIT, MI
2012
, on this,
Signature Title
REVENUE OFFICER 22-06-1411
for DREW N DELENICK (717) 777-9619
(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 CAT. 668(l (Rev. 2 20041
CAT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
11883 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
Serial Number
865196412
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therefore, the lien provided by Code section 6321 for these taxes and
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on Y l
2012 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
M A D MIRACLES INC, a Corporation
CURVES FOR WOMEN
Residence 6 SKYPORT ROAD
MECHANICSBURG, PA 17050-0000
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a 12-3100
Kind of Tax
a --Tax Period
Ending
b
Identifying Number
c)
941 06/30/2011 25-1873743
941 09/30/2011 25-1873743
941 12/31/2011 25-1873743
******** ********** *************
Date of I Last Day for
Assessment Refilling
1-0/03/2011 11/02/2021
)1/09/2012 02/08/2022
)4/02/2012 05/02/2022
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
M C_._
r-
.? XP `"r 7
C; 7?
C?,s-p Ord C. 7.
unpaid Balance
of Assessment
3182.26
3919.32
2424.73
****************
Total 1$ 9526.31
This notice was prepared and signed at
the 30th day of May 2 012
DETROIT, MI
, on this,
Signature I*,-
Title
Operations Manager,
Centralized Case Processing-Lien Unit
(MOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the vanony v. ??? ?--- -
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part I - RECORDING OFFICE CAT. NO 600261