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1872
Department of the Treasury - Internal Revenue Service
f_ 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) "7to.D('. SIS"<' ~TL
Area: Serial Number For Oationsl Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 -ffl.. t4I · / 'I. r.JO
Lien Unit Phone: (800) 913-6050 313310306
As provided by section 6321, 6322, and 6323 of che Internalllevenue tlt... ;) $'1
Code, we are aMn8 a nodce chat taxes (Includln8lnCerest and penaldes)
have been assessed aplnst che followlnc-named taxpayer. We have made R.u.. If;Z'le;
a demand for paymenC of chis liability, buc It remains unpaid. Therefore,
Chere Is a lien In favor of che Unked Scates on all property and riches CO (') ......,
= 0
property belonlin8 CO Chis taxpayer for che amounc of these taxes, and c = "
~ cr-
additional penalties, Inceresc, and costs chac may accrue. -r,,' ~. (rJ :;:!
;,""J1r '" ffi:D
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Name of Taxpayer APOM INC a Corporation , ," r-
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Residence 800 W HIGH ST ); ~:~~: .-t,,. ~;:. (J
CARLISLE, PA 17013-2706 ~ om
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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 lAC 6325(a).
Tax PerIod DaCe of Last Drrt. for Unpaid Balance
Kind of Tax Endln8 Identlfyln8 Number Assessmenc of Assessmenc
(a) (b) (c) (d) ~)8 in
1120 12/31/2005 30-0046294 OS/22/2006 06/21/2016 167.58
940 12/31/2005 30-0046294 04/03/2006 05/03/2016 1702.96
941 09/30/2005 30-0046294 02/20/2006 03/21/2016 28909.40
941 12/31/2005 30-0046294 04/10/2006 05/10/2016 22163.88
Place of Filing
Prothonotary
Cumberland County Total $ 52943.82
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
28th day of August
2006
Signature
Title
REVENUE OFFICER
(717) 221-3490 x1300
22-06-1450
for JEFFREY WHITE
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru\. 11.466,1911 - 2 C.B. 409)
Part 1 - Ktpt By IlocclrdIq OfIIce
Form 668(Y)(c) IRev. 2-2004)
CAT. NO 6002SX