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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 958748813
As provided by section 6321, 6322, and 6323 of the Internal Revenue l3 r
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following -named taxpayer. We have made r ,.
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 CDr M M s =
additional penalties, interest, and costs that may accrue.'''
Name of Taxpayer USF GLEN MOORE INC, a Corporation rte. C4
Residence 1711 SHEARER DR' • }'�
CARLISLE, PA 17013 - 9663.
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, f 5 d `�'
on the day following such date, operate as a certificate of release as defined a �'
in IRC 6325(a). S-� tfs
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)
6721 12/31/2010 23- 2443760 08/05/2013 09/04/2023 117200.00
941 12/31/2011 23- 2443760 03/05/2012 04/04/2022 1128.01
Place of Filing
Prothonotary
Cumberland County Total $ 118328.01
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
the 04th day of September 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)
Part 1 - Kept By Recording Office Form 668( CAT (Rev. 025X ►
CAT. NO 60025X