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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 111024014 F:5�rL
As provided by section 6321, 6322, and 6323 of the Internal Revenue ry
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 -_. T ,
there is a lien in favor of the United States on all property and rights to -ate x -1
property belonging to this taxpayer for the amount of these taxes, and rn m X- ��r=
additional penalties, interest, and costs that may accrue. ter ;
Name of Taxpayer TOTAL HOME CARE AND INSPECTION INC r-Z '
a Corporation y 3205
Residence 224 GREEN LANE DR
CAMP HILL, PA 17011-8318
co
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless noti7.
ce 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). K� A' 3 0,
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)
940 12/31/2011 1374231258 04/16/2012 05/16/2022
940 12/31/2011 13-4231258 04/28/2014 05/28/2024 6556 . 82
940 12/31/2012 13-4231258 05/05/2014 06/04/2024 2009 . 10
940 12/31/2013 13-4231258 05/05/2014 06/04/2024 1459 . 65
941 03/31/2012 13-4231258 05/12/2014 06/11/2024
941 03/31/2012 13-4231258 06/16/2014 07/16/2024 8809 . 76
941 06/30/2012 13-4231258 05/19/2014 06/18/2024
941 06/30/2012 13-4231258 06/16/2014 07/16/2024 27245 .42
941 09/30/2012 13-4231258 05/12/2014 06/11/2024 24547 . 96
941 12/31/2012 13-4231258 05/12/2014 06/11/2024 21933 . 06
941 03/31/2013 13-4231258 05/12/2014 06/11/2024 24060 . 19
941 06/30/2013 13-4231258 05/12/2014 06/11/2024 25252 .21
941 09/30/2013 13-4231258 05/12/2014 06/11/2024 26674 . 01
941 12/31/2013 13-4231258 05/12/2014 06/11/2024 23293 .23
Place of Filing
Prothonotary
Cumberland County Total $ 191841 .41
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 23rd day of July 2014
Signature Title/"��� REVENUE OFFICER 22-06-2624
for JAKOB A 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(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X