HomeMy WebLinkAbout94-01181
I c) Deparlmenl of the Treasury - Internol Revenue Service
I Form 668 (V)
liRe..... Oclobuf 19!33i Notice of Federal Tax Lien
I Fo' OpliO".:J1 Usa by Rocording Office
!District Serial Number
I Ph i I ade I ohi a. PA ":::~~'~41):':2';) ,~ No, /I ~ I FTL
As provided by sections 6321, 6322, and 6323 01 the Internal Revenue /9'11-
Code, we are giving a notice thaI taxes (Including Interest and penalties)
have been assessed against the loll owing-named tax payor. We have made ~ 9, UU pr/-
a demand lor payment 01 this liability, but It remains unpaid. Therefore,
there Is a lien In favor of the United States on all property and rights to :"y
property belonging to this taxpayer for the amount of these taxes, and '0
I '"
additional penalties, Interest, and costs that may accrue. .
c;;:,;.
\Name of Taxpayer FISHERMANS CArCH
I . COMPREHENSIVE CUS SERV r,
.. "
i Residence N
PO EOH 576
MECHANICSBURG, _....
, PA 1 70~5-0'57,:" -
, 1..r.J
, .::-
I IMPORTANT RELEASE INFORMATION: For each assessment listed below,
, unless notice of lien is refiled by the date given in column (e), this notice shall, \....\,).. \..' ,\COSt.
, on the day fo~:~Wing such date. operate as a certificate of release as defined
I in IRC 6325 a , f2. 11 ,0'1\.1
I Tax Period Dote 01 Lost Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Rellllng 01 Aasessment
(a) (b) (e) (d) (e) (I)
941 12:i 31/91 2',)-2::2:302:"7 (J:-c/:-<O/9?: 04/29/02 463.05
\
I
\Place of Filing
I Prothe,notary Total $
1
i Cumberland County 463 . OE.
i Car lis' e , PA 17013
'This notice was praparad and signed at Ph, ladE' rot, i a, FA
. on this.
tho 24 ttday of
Febr uar;;19 ---2::.
Signature
Title
l~l;:HI a 3e r
::. ~(. (I 1 -, (11"'(1(1
fvt" Pat,-iCI4 Betlejews~:l'- ACS
(NOTE: C..fll!,c:\te 01 othCH' :\ull1ori:nd bi i,\..... 10 1;1l..t! Mkr~c...It~dCJmt)f1IS ,~, no: n~scn"'ll to the validity 01 Nolice 01 Federal Tall lien
Rev nl~1 71,4(,13, 1971 .2 C 0, 409\
Part 1 . Kept By Recording Office Form 668 (V) (Rev, 10-93)
I'"'.
,.....
,.....
~
.
.
.
. \
.
.
.
.
.. ;
1
I
I
. I , ~ \' i
'_ I
I
, c
t !
'- i
!
,I.
,
i.
It
1