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11799
Department of the Treasury - Internal Revenue Service
form 668 (Y){c)
Notice of Federal Tax Lien
fLo.D~' {P497 f='TL-
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 324762706
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 CARLISLE MOTEL & CAMPGROUND INC
For Optional Use by Recording Office
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Residence
1075 HARRISBURG PIKE
CARLISLE, PA 17013-1664
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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).
o
N
Tax Period Date of Last Datt for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi Ing of Assessment
(a) (b) (c) (d) (e) (0
1120 12/31/2000 25-1796620 02/11/2002 03/12/2012 4471. 46
941 06/30/2004 25-1796620 01/09/2006 02/08/2016 1310.48
941 12/31/2004 25-1796620 01/02/2006 02/01/2016 629.30
941 03/31/2005 25-1796620 02/20/2006 03/21/2016 1014.45
941 09/30/2005 25-1796620 02/06/2006 03/07/2016 288.84
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
7714.53
This notice was prepared and signed at
DETROIT, MI
, on this,
the
26th day~ October
2006
Signature
Title
ACS
(800) 829-3903
22-00-0008
for REGINA OWENS
(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