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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(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 944386813 ,� _
As provided by section 6321, 6322, and 6323 of the Internal Revenue l-3 '�f�S�3 /� 2—
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 C= -'
additional penalties, interest, and costs that may accrue. C
Name of Taxpayer ADVANCED CHIMNEY SYSTEMS, AN LLC ` 7 F
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Residence 20 ORANGE ST C")
MT HOLLY S PGS , PA 17065
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F TANT RELEASE INFORMATION: For each assessment listed below, otice of the lien is refiled by the date given in column (e), this notice shall, day following such date, operate as a certificate of release as defined
225(a). f44
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 12/31/2009 20- 8830977 02/20/2012 03/22/2022 81.01
941 03/31/2009 20- 8830977 06/11/2012 07/11/2022 2075.54
941 12/31/2009 20- 8830977 02/20/2012 03/22/2022 830.26
941 03/31/2010 20- 8830977 02/20/2012 03/22/2022 814.29
941 06/30/2010 20- 8830977 02/20/2012 03/22/2022 798.15
941 12/31/2011 20- 8830977 02/27/2012 03/29/2022 1661.71
941 06/30/2012 20- 8830977 10/01/2012 10/31/2022 479.86
941 09/30/2012 20- 8830977 11/26/2012 12/26/2022 217.85
941 12/31/2012 20- 8830977 02/25/2013 03/27/2023 1046.22
941 03/31/2013 20- 8830977 05/27/2013 06/26/2023 513.55
i
Place of Filing
Prothonotary
Cumberland County Total $ 8518.44
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 12th day of June 2013
Signature Title
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)
AT Form 668( (Rev. 2 -20
Part 1 - Kept By Recording Office CAT. NO 60025X X