HomeMy WebLinkAbout06-3495
1872
Form 668 <Y)< c)
Notice of Federal Tax Lien
Department of the Treasury - Internal Revenue Service
. 0(.. .3 '195 F It-
(Rev. February 20041
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 296063606
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 righU to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and cosU that may accrue.
Name of Taxpayer WHITE STAR DINNER INC , a Corporation
RE1sidence
1 ROSS AVE
NEW CUMBERLND, PA 17070-2611
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 IRe 6325(a).
For Optional Use bV Recording Office
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Tax Period Date of Last Dm; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e)
940 12/31/2005 33-1105736 04/03/2006 05/03/2016 356.61
941 12/31/2005 33-1105736 04/03/2006 05/03/2016 5552.82
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
I on this,
the
08th day of June
2006
Signature
Title
REVENUE OFFICER
(717) 221-3490 x1320
22-06-1442
for DAVID M. SHROYER
Total $
5909.43
Part 1 - Kept By Recordlnl OIIIce
(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) IRev. 2-20041
CAT. NO 60025X