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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(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 940678313
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 C=
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. Z rr' '
Name of Taxpayer CUMBERLAND SERVICES INC, a Corporation �> -
Residence 3 S 40TH ST
CAMP HILL, PA 17011 -7802
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, L'
on the day following such date, operate as a certificate of release as defined P
o IRC 6325(a). � a411 y`7
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)
940 12/31/2011 23- 2293735 04/22/2013 05/22/2023 47973.02
940 12/31/2012 23- 2293735 04/15/2013 05/15/2023 41035.86
941 09/30/2011 23- 2293735 04/15/2013 05/15/2023 32028.04
941 03/31/2012 23- 2293735 04/15/2013 05/15/2023 33005.69
941 06/30/2012 23- 2293735 04/15/2013 05/15/2023 21018.15
941 09/30/2012 23- 2293735 04/15/2013 05/15/2023 41544.99
941 12/31/2012 23- 2293735 04/15/2013 05/15/2023 14452.57
Place of Filing
Prothonotary
Cumberland County Total $ 231058.32
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 21st day of May 2013
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