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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 109928514 > /�
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
property belonging to this taxpayer for the amount of these taxes, and �3 CR T`
additional penalties, interest, and costs that may accrue. rnca C-- r-r,
Name of Taxpayer HARRISBURG OFFICE FURNITURE INC a�
a Corporation sv C-- '
ice--Z --4 C
Residence 3300 HARTZDALE DR STE 101 ,
CAMP HILL, PA 17011-7236
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 a�.S��ol.� /,
in IRC 6325(a). Ae- y 30CJ'C�Ja
Tax Period Date of Last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2013 25-1591706 09/30/2013 10/30/2023 15210 . 37
941 09/30/2013 25-1591706 01/13/2014 02/12/2024 10880 . 03
941 12/31/2013 25-1591706 03/31/2014 04/30/2024 14660 . 56
Place of Filing
Prothonotary
Cumberland County Total $ 40750 . 96
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 16th day of July 2014
Signature Title
l � REVENUE OFFICER 22-06-2614
for LINDSEY O BOWLIN (717) 777-9623
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vaWity 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