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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(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
867025812
la' 3073 Ciw/TerrA
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, e
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 ma
,
,
y accrue.
Name of Taxpayer YE OLDE ALE HOUSE INC, a Corporation
C/O J K HENCH PRES
Residence 5450 WESTBURY DRKE
ENOLA, PA 17025
ORTANT RELEASE INFORMATION: For each assessment listed below
,
ss notice of the lien is refiled by the date given in column (e), this notice shall,
F
?. a(,50 ET
he day following such date, operate as a certificate of release as defined ??//
?
in
C 6325(a). l ? a75T8
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2010 23-1717397 04/04/2011 05/04/2021 396.37
940 12/31/2011" 23-1717397 04/02/2012 05/02/2022 268.47
941 12/31/2011. 23-1717397 03/05/2012 04/04/2022 287.29
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 952.13
This notice was prepared and signed at
the 09th day of May
DETROIT, MI
2012
, on this,
Signature Title
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