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Department of the Treasury - Internal Revenue Service
Form 668 (Yxc)
Node* of Fadrad Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Usk by Recordin g, Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 882219112 r-?
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21, 6322, and 6323 of the InWaal
As prov
y mcdow 6 .(,
Code, we are amt a nodee dart taxes ( h1 dI and pewlWNW)
have been Afters led sooka d w bNowhig named taxpayer. We have made
a demmad for poft* d this fir, but h rem610 unpdd. TheteSolre, c
there b a fiesta In hvor of the 11RW States on aN property and d0a to .-?.
property I Iot gin - to thb taxpayer for dw amount of these tames, and
addhional pl des, %moslt, and costs that may accrw. -V,M
Name of Taxpayer TIGER BUSINESS GROUP LLC . A NA '
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Residence 4915 GETTYSBURG RD Z
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MECHANICSBURG, PA 17055 tv "
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lif"M ULf1AS IMPOMATION: For each assessment listed below, 7 -
unless notice of the lion Is refiied by the date given in column. (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
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Kid of Tax T
End"
MMentffyft Nma6er
Ash
a c d e
941 06/30/2011 20-1081360 07/02/2012 08/01/2022 56 03.21
941 09/30/2011 20-1081360 07/02/2012 08/01/2022 90 64.01
941 12/31/2011 20-1081360 07/02/2012 08/01/2022 64 81.87
941 03/31/2012 20-1081360 07/02/2012 08/01/2022 30 64.03
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 24243.12
This notice was prepared and signed at DETROIT, MI
the 18th day of July 2012
on this,
Signature attmm OFFICER 22-0 -1413
for LINDSEY O BOWLIN (717) 777-9523
(MOM Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Noll of Federal T x lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) 48M(C) .
Part 1 - Kept By RecorAw t?lttoe Form IR 2-20041
CAT T. N 60025X