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11799
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
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form 668 (Y)(c)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit phone: (800) 913-6050 320358006
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 uxpayer for the amount of these taXes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer APOM INC , a Corporation
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Residence
800 W HIGH ST
CARLISLE, PA 17013-2706
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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 IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (0
941 03/31/2005 30-0046294 06/27/2005 07/27/2015 11151.54
941 06/30/2005 30-0046294 09/12/2005 10/12/2015 20363.59
941 03/31/2006 30-0046294 09/18/2006 10/18/2016 28064.48
Place of Filing
prothonotary
Cumberland County
Carlisle, PA 17013
Total $
59579.61
This notice was prepared and signed at
DETROIT, MI
, on this,
the
03rd day of October
2006
for JEFFREY WHITE
Title
REVENUE OFFICER
(717) 221-3490 x1300
22-06-1450
Signature
(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)
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X