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Department of the Treasury - Internal Revenue Service
F orm 668 (Y`>
(Rev. February 2004 Notice of Federal Tax Lien 13 - ao54 FTL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913 -6050 932401813x,1.50 PfJ PLFF
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) ET
have been assessed against the following -named taxpayer. We have made �# a$gRO
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 c>
property belonging to this taxpayer for the amount of these taxes, and s ��
additional penalties, interest, and costs that may accrue. rr, rn
Name of Taxpayer HAMPTON CONSTRUCTION MANAGEMENT U) t=� -7
LIMITED -C? a''
a Corporation
Residence y :X 1300 MARKET STREET �o
LEMOYNE, PA 17043-1420
Cu
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,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
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)
941 09/30/2012 25- 1800323 03/25/2013 04/24/2023 74699.82
941 12/31/2012 25- 1800323 03/25/2013 04/24/2023 61317.43
Place of Filing
Prothonotary
Cumberland County Total $ 136017.25
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
the 09th day of April 2013
Signature / REVENUE OFFICER 22 -06 -1408
for MIGNA RODRIGUEZ (717) 7 77 -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 t - Kept By Recording Office CAT. NO 60025X