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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 943517813
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 Cl) r --2 �" ,,
property belonging to this taxpayer for the amount of these taxes, and � cm
additional penalties, interest, and costs that may accrue. -C c rn
!M C= Name of Taxpayer HELWIG CONSTRUCTION, ,a Partnership =�* =
GEORGE HELWIG A PARTNER ;7j CHARLES D HELWIG JR, A PARTNER
r C) --
Residence
905 GETTYSBURG PIKE T>r) ; —:
MECHANICSBURG, PA 17055 � = c'
_{ C n
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, o��.S� �( 9-•
on the day following such date, operate as a certificate of release as defined P
in IRC 6325(a). a 9Ab /
Tax Period Date of Last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
945 12/31/2004 23- 2910477 04/28/2008 05/28/2018 38243.04
Place of Filing
Prothonotary
Cumberland County Total $ 38243.04
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 06th day of June 2013
Signature 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