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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000) & 002- 5046
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3 ' P
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Lien Unit Phone: (800) 829-3903 230296189 , ?y
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck 31-2
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made / C O
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 n
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property belonging to this taxpayer for the amount of these taxes, and r
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additional penalties, interest, and costs that may accrue. mr:, r
Name of Taxpayer MICHAEL COONS
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Residence PO BOX 31 _ rv rn
LEMOYNE, PA 17043-0031
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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 Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1995 194-44-9082 06/08/1998 07/08/2008 1636.57
1040 12/31/1996 194-44-9082 07/05/1999 08/04/2009 252.51
1040 12/31/1997 194-44-9082 02/19/2001 03/21/2011 4621.13
1040 12/31/1998 194-44-9082 02/19/2001 03/21/2011 173.97
1040 12/31/1999 194-44-9082 04/02/2001 05/02/2011 469.65
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
Total 1$
7153.83
the 15th day of October 2002
on this,
Signature Title
ACS 23-00-0008
for L LEDER (800) 829-3903
(NOTE: Certificate of officer authorized by law to take a nowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rut. 71-466,1971-2 C.B. 409) Form 668(Y)(c) (Rev. 10-00)
Part I - Kept By Recording Office CAT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
499 Department of the Treasury - Internal Revenue Service
Certifscate of Release of Federal Tax Lien
Serial Number For Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3
lit ss vo
Lien Unit Phone: (412) 395-5265 230296189 .
1 certify that the following-named taxpayer, under the requirements of section 6325 (a) C?# 3.7
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 13.2.2
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on October 21
=
is authorized to note the books to show the release of this lien for
2002 co * Cr, -
,
these taxes and additions. -G
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Name of Taxpayer C ,
MICHAEL COONS cV ' r
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Residence PO BOX 31
LEMOYNE, PA 17043-0031
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 02-5096 FTL
Tax Period Date of Last D for
li Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi
ng of Assessment
1040 12/31/1995 194-44-9082 06/08/1998 07/08/2008 1636.57
1040 12/31/1996 194-44-9082 07/05/1999 08/04/2009 252.51
1040 12/31/1997 194-44-9082 02/19/2001 03/21/2011 4621.13
1040 12/31/1998 194-44-9082 02/19/2001 03/21/2011 173.97
1040 12/31/1999 194-44-9082 04/02/2001 05/02/2011 469.65
Place of Filing Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 7153.83
This notice was prepared and signed at
the 22nd day of November
, on this,
Title Compliance Technical Support
Manager
PITTSBURGH, PA
2002,
(NOTE: Certificate officer authorized by law to a acknowledgments is not essential to the validity of uertlricate or meiease or
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 09) Form 668 (Z) (Rev. 10-2000)
Part I - RECORDING OFFICE CAT. NO 600261