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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 959433113
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, c'r
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 M
additional penalties, interest, and costs that may accrue. z r'' M r°
.i P',
Name of Taxpayer CUMBERLAND VALLEY EXCAVATING & PAVING INC p Q '
a Corporation r -M
Residence 2272 RITNER HWY.,
SHIPPENSBURG, PA 17257 -9754 -ir r
ry �
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).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
2290 07/01/2006 71- 0884867 03/02/2009 04/01/2019 4782.61
2290 07/01/2007 71- 0884867 08/03/2009 09/02/2019 6181.01
940 12/31/2007 71- 0884867 04/28/2008 05/28/2018 294.93
941 09/30/2006 71- 0884867 07/30/2007 08/29/2017 844.30
941 03/31/2007 71- 0884867 01/07/2008 02/06/2018 2207.72
941 06/30/2007 71- 0884867 12/31/2007 01/30/2018 9284.36
941 09/30/2007 71- 0884867 12/24/2007 01/23/2018 12472.91
941 12/31/2007 71- 0884867 03/31/2008 04/30/2018 3117.65
941 06/30/2008 71- 0884867 09/15/2008 10/15/2018
941 06/30/2008 71- 0884867 10/04/2010 11/03/2020 24765.55
Place of Filing
Prothonotary
Cumberland County Total $ 63951.04
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 06th day of September 2013
Signature Title
REVENUE OFFICER 22 -06 -1418
for JAKOB PEDERSEN (717) 777 -9621
(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( (Rev. 2 -2004)
Part 1 - Kept By Recording Office CAT. NO 60025X