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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of federal Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913 -6050 936919513 /3 2 ;t �TL
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,
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 '71
additional penalties, interest, and costs that may accrue. ---j
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Name of Taxpayer ANNIES BREAKFAST AND LUNCH INC
a Corporation
< C5
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Residence
6981 WERTZVILLE RD
�-; CD —r
ENOLA, PA 17025 -1039
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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). ,P��039�jf
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) M
941 12/31/2006 20- 5561935 02/19/2007 03/21/2017
941 12/31/2006 20- 5561935 09/15/2008 10/15/2018 2159.36
941 03/31/2007 20- 5561935 05/28/2007 06/27/2017 483.26
941 06/30/2008 20- 5561935 08/11/2008 09/10/2018
941 06/30/2008 20- 5561935 02/14/2011 03/16/2021 16656.79
Place of Filing
Prothonotary
Cumberland County Total $ 19299.41
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 01st day of May 2013
Signature Title
\ C- REVENUE OFFICER 22 -06 -1413
for LINDSEY O BOWLIN (717) 777 -9623
(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