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1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
(Rev. FebruO,Iry 2004t 11..." OC. 1J/. J;'v t=TL
Area: Serial Number For Optional Use by Recordinn Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 fd.. fJ'1I ' 1'f,00
Lien Unit Phone: (800) 913-6050 307447106
As provided by section 6321, 6322, and 6323 of the Internal Revenue e..L Ii.- \.
Code, we are giving a notice that (axes (Including interest and penalties)
have been assessed against the foRowIng-named taxpayer. We have made L I f/51'j
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 rlpts to 0 ::;g ~
property belonaing to this taxpayer for the amount of these (axes, and c =
;:;:: ""
additional penalties, Interest, and costs that may accrue. -o,r ",. ~:o
IIlf; c:;
Name of Taxpayer GLOBAL SUPPLY CHAIN & DISTRIBUTION ;~::',i en ~~
71'
LLC ;:q ;:;' -
a Partnership -<. ~, -
,--c'
.,;' "'tl
Residence 5267 SIMPSON FERRY RD :?~ ~~': :x zO
5>c. -m
MECHANICSBURG, PA 17050-3507 <..:? 8
z ~
:.;! w
IMPORTANT RELEASE INFORMATION: For each assessment listed below, U1
unless notice of the lien is refiled bV the date given in column (et this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Date of Last Dnf. for Unpaid Balance
Kind of Tax Ending ldendfyln, Number Assessment Ref! n, of Assessment
Ca) Cbl (cl (dl (el en
941 03/31/2005 34-2016234 01/09/2006 02/08/2016 20999.62
941 06/30/2005 34-2016234 01/09/2006 02/08/2016 22867.03
941 09/30/2005 34-2016234 01/02/2006 02/01/2016 27102.43
941 12/31/2005 34-2016234 05/15/2006 06/14/2016 40270.28
Place of Filing
Prothonotary
CUmberland County Total $ 111239.36
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
I on this,
the
03rd day of August
2006
for DAVID M, SHROYER
Title
REVENUE OFFICER
(717) 221-3490 x1320
22-06-1442
Signature
(NOTE: Certificate ot otticer authorized by Jaw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev, Rut 71-466, 1971 - 2 C,8, 409)
Pan 1 - Kept By _... ORIce
Form 668(Y)(c) (Rev, 2-2004)
CAT, NO 60025X