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HomeMy WebLinkAbout06-2592 1872 Department of the Treasury - Internal Revenue Service Form 668 (Y)( c) Notice of Federal Tax Lien (Rev. February 2004) 7'l.c. 0 t. . d !i'i.l- Frl- Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 {Jt/-.(?-'I/.JV.vo Lien Unit Phone: (800) 913-6050 283758806 As provided by section 6321, 6322, and 6323 of the Internal Revenue C)'\.. 'i '1 "J <- Code, we are giving a notice that taxes (including interest and penalties) f0..." /'7 7 Sf, (, 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 2 ...., property belonging to this taxpayer for the amount of these taxes, and = ~ = additional penalties, Interest, and costs that may accrue. :;::: """ -ocr; :x .~-n Name of Taxpayer BENCHMARK IMAGING SERVICES INC spo., :>> ~T'~ -< 831' a Corporation r?~: I :B~ U1 0 <\.~: :r!"Ti Residence "" ""'0 116 PINE ST ~8 :It Q~ HARRISBURG, PA 17101-1244 c ':':> 15 ~ ~ t.) IMPORTANT RELEASE INFORMATION: For each assessment listed below, U1 -<: 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(0). Tax Period Date of Last Di'l. for Unpaid Balance KInd of Tax Ending Identifying Number Assessment Ref! ng of Assessment Ca) Cb) (c) Cd) (e) (f) 941 06/30/2004 25-1837391 10/03/2005 11/02/2015 1835.00 941 12/31/2004 25-1837391 10/03/2005 11/02/2015 1246.64 . Place of Filing Prothonotary Cumberland County Total $ 3081. 64 Carlisle, PA 17013 This notice was prepared and signed at DETROIT, MI , on this, the 11th day of April 2006 Signature Title REVENUE OFFICER (717) 221-3490 x1320 22-06-1442 for DAVID M, SHROYER (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rui. 71-466,1971 - 2 C.B. 4091 Part I - Kept By Recordln, 0fIke Form 668(Y)(c) (Rev. 2-20041 CAT. NO 60025X Form 668 (Z) (Rev. 1o.-2000l 1872 Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien 283758806 For Use by Recordin ..fJ.L 1!41 P$, on> c.J:.- 7 'f97 ~ /74 f90 Office Area: SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 . Serial Number I certify that the following-named taxpayer, under the requirements of section 6325 { of the Internal Revenue Code has satisfied the taxes listed below and all statutory 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 May 05 2006 , is authorized to note the books to show the release of this lien for these taxes and additions. a Corporati n ~~ ;'>.J g ~y,j 0-' ~')!';-"- -f ::c l'"n Name of Taxpayer BENCHMARK IMAGING SERVICES INC I c.n :r::!~ Residencel16 PINE ST HARRISBURG, PA 17101-1244 \_0 C"': C/', COURT RECORDING INFORMATION: Liber page UCC No, Serial No j n/a n/a n/a 06-2592 Tax Period Date of Last ~fOr Unpaid Balance Kind of Tax Ending Idenclfylng Number Assessment R g of Assessment (s) (b) (e) (d) (e) (f) 941 06/30/2004 25-1837391 10/03/2005 11/02/2015 1835,00 941 12/31/2004 25-1837391 10/03/2005 11/02/2015 1246.64 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total $ 3081. 64 This notice was prepared and signed at DETROIT, MI I on this, the 28th day of June 2006 Signature Title Direct9r, 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. RuJ. 71-466, 1971 - 2 C.B. 409) Part 1 - RECORDING OFFICE Form 668 (Z) (Rev. 10-2000) CAT. NO 600261