HomeMy WebLinkAbout06-5928
11799
Form 668 (Y)( c)
Notice of Federal Tax Lien
Department of the Treasury - Internal Revenue Service
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 319650606
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 rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer BLONDIES INN INC , a Corporation
Residence
49 W HIGH ST
CARLISLE, PA 17013-2923
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).
Kind of Tax:
(a)
941
Tax: Period
Ending
(b)
12/31/2003
Identifying Number
(c)
23-2468088
Date of
Assessment
(d)
04/19/2004
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
the 28th day of September, 2006
Signature
Title
REVENUE OFFICER
(717) 221-3490 x1320
22-06-1442
for DAVID M. SHROYER
1Lb. Ot, - 59.J 'i r T L-
For Optional Use by Recording Office
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Last D~y for
Refilmg
(e)
05/19/2014
Unpaid Balance
of Assessment
(f)
1863.33
1863.33
, on this,
Part 1 - Kept By Recording Office
(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)
Total $
Form 668(Y)(c) (Rev. 2-2004)
CA T. NO 60025X
--*--
11799
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
(Rev. 10-2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 319650606
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
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 October 11
2006 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
BLONDIES INN INC , a Corporation
Residence49 W HIGH ST
CARLISLE, PA 17013-2923
Liber
n/a
COURT RECORDING INFORMATION:
DCC No. Serial No.
n/a 06-5928 ~
Page
n/a
Tax Period
Kind of Tax Ending Identifying Number
(a) (b) (e)
941 12/31/2003 23-2468088
********~************************
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For Use by Recording Office
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Date of Last Day for
Assessment Refihng
(d) (e)
04/19/2004 05/19/2014
***********************
Unpaid Balance
of Assessment
(f)
1863.33
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
the
27th day of December
2006
Signature
Title Director, Campus Compliance
Operations
Total $
1863.33
, on this,
(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. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - RECORDING OFFICE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261