HomeMy WebLinkAbout06-1583
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) -,1" 1)1- /:),,3 FrL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 Pee 1"'1/ ' 1'/ 0~
Lien Unit Phone: (800) 913-6050 279380306
As provided by section 6321, 6322, and 6323 of the Internal Revenue (jz \/&,'
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made )2-<-<-. }1'{')/l)
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
additional penalties, interest, and costs that may accrue.
BLACK INC Corporation () '"
Name of Taxpayer R H a = ~
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Residence r-
2250 BUMBLE BEE HOLLOW ROAD N -ani
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MECHANICSBURG, PA 17055-5581 -, Cl ,:.J 1-
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~"":'" )
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unless notice of the lien is refiled by the date given in column (e), this notice shall, ".- j~
on the day following such date, operate as a certificate of release as defined ::.2 - _D
in IRe 6325(a). co .-<
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2004 25-1850558 10/31/2005 11/30/2015 36.31
941 03/31/2005 25-1850558 07/11/2005 08/10/2015 18715.83
941 06/30/2005 25-1850558 10/03/2005 11/02/2015 14664.84
Place of Filing
Prothonotary
Cumberland County Total $ 33416.98
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
15th day of March
2006
Signature
Title
REVENUE OFFICER
(717) 221-3490
22-06-1408
for MIGNA RODRIGUEZ
(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(Y)(c) (Rev, 2.20041
CAT, NO 60025X
.. '..
1872 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax: Lien
(Rev. 10-2000)
Area: Serial Number For Use bv Recordina Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 .fa.. (JAf/ · s: W
Lien Unit Phone: (800) 913-6050 279380306
I certify that the following-named taxpayer, under the requirements of section 6325 ( ~ 3&'3r
of the Internal Revenue Code has satisfied the taxes listed below and all statutory v2u-. /17(, U
additions. Therefore, the lien provided by Code section 6321 for these taxes and
additions has been released. The proper officer in the office where the notice of ,
internal revenue tax lien was filed on March 20
2006 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer ~ '"
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Corporation =
R H BLACK INC , a "'"
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Residence 2 2 5 0 BUMBLE BEE HOLLOW ROAD Ul
MECHANICSBURG, PA 17055-5581 ~e'..; 9.>
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COURT RECORDING INFORMATION: c: ~ Om
Liber Page UCC No. Serial No. 1f- AlLJ-- ~ ~ ,J:'" ~
n/a n/a n/a 0(., -&5-1583 FTL -' -<
Tax Period Date of Last D?; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilng of Assessment
(a) (b) (e) (d) (e) (f)
940 12/31/2004 25-1850558 10/31/2005 11/30/2015 36.31
941 03/31/2005 25-1850558 07/11/2005 08/10/2015 18715.83
941 06/30/2005 25-1850558 10/03/2005 11/02/2015 14664.84
******** **********7- ************* **********-J ************ ****************
Place of Filing
Prothonotary
Cumberland County Total $ 33416.98
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
26th day of April
2006
Signature
Title Direct,?r, Campus Compliance
Operat~ons
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev, Ru!. 71-466,1971 - 2 C,B. 409)
Part t . RECORDING OFFICE
Form 668 (Z) IRev. 10.20001
CAT. NO 600261
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OFFICE OF THE PROTHONOTARY
CUMBERLAND COUNTY COURTHOUSE
ONE COURTHOUSE SQUARE
CARLISLE, P A 17013-3387
(717) 240-6195
To: ThoM A5 Su.ror-
Fax# 30;)' '1 qJ . {. '" 'if
From:
Cumberland County Prothonotary
RE: t?~ uf d.Ld.ua.1 I~ ~
Message: 7tc.()S~ IS'13 /='i/... .~;t;. iXLA.J ~ ..J
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2-No of pages (including cover sheet)
This message is intended for the use~ i~'i~ ~~ to which it is
addressed, and it may contain information that is privileged, confidential and
exempt from disclosure under applicable law. If the reader of this message is not
the intended recipient, you are hereby notified that any dissemination, distribution
or copying of this communication is strictly prohibited. If you have received this
communication in error please notify us immediately by telephone and return the
original message to us at the above address via the U.S. postal service. Thank you.
NOTE: IF YOU DO NOT RECEIVE ALL THE PAGES, OR ANY PAGES ARE
UNCLEAR, PLEASE CALL (717) 240-6195 AS SOON AS POSSIBLE AND ASK
FOR THE SENDER. 1(,C2 6J.~"TLH~
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