HomeMy WebLinkAbout04-0919
1008
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(C)
(Rev. February 2004)
Notice of Federal Tax Lien
lIJJO'f-9/1 F'rL
For Optional Use by Recording Office
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Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 158865704
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 righu to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer MICHAEL GUION
IL. / 'I U/rO
Residence
117 SHOLLY DR
MECHANICSBURG, PA 17055-5842
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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 IRe 6325(a).
Tax Period Date of Last Dad'; for
Kind of Tax Ending Identifying Number Assessment Refi ng
(a) (b) (c) (d) (e)
6672 09/30/2000 311-70-6353 04/21/2003 OS/21/2013
6672 03/31/2002 311-70-6353 04/21/2003 OS/21/2013
6672 06/30/2002 311-70-6353 04/21/2003 OS/21/2013
6672 09/30/2002 311-70-6353 04/21/2003 OS/21/2013
Unpaid Balance
of Assessment
(f)
1771. 24
4651.37
7253.42
8395.62
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
22071.65
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
24th day of February
2004
si~ure- f/L"
V") " IJiUl.Cl
for L LEDE
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r)
G-G2--~./
Title
ACS
(800) 829-3903
23-00-0008
(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. 4091
Part 1 - Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X
Form 668 (Z)
1872
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax lieD
(Rev. 10-2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 9l3-6050 158865704
I certify that the following-named taxpayer, under the requirements of section 6325 (
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therefore, the lien provided by Code section 63~: 1 tor these taxes and
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on March 04
~~, is authorized to note the books to show the release of this lien for
these taxes and additions
For Use by Recording O~fice ___
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Name of Taxpayer
MICHAEL GUION
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Residence 11 7 SHOLLY DR
MECHANICSBURG, PA 17055-5842
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Page
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COURT RECORDING INFOP~TION:
UCC No. Serial No.
n/a 04-919 FTL
I'..:.:
Tax Period
Kind of Tax Ending
fa} (b)
66~2 09/3C/2000
66"/2 I 03/31/2002
6672. 06/30/:=002
66"/2 I 09./ 30/ 2002
**'*~****~**'***~****
I
Date of Last Day for Unpaid Balance
Identifying NumbeF Assessment Refilmg , of A~essment
(c) (d) (e). (f)
311-70-6353 04/21/2003 OS/21/2013 I ---177~.24
311-70-8353 ,04/21/2003 OS/21/2013 I 4651.37
311"70-6353 101/21/2003 OS/21/2013 I 7253.42
311-706353 04/21/2003 OS/21/2013 a395 62
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r.'iace of Filing
DrothoIiotary
Cumberland County
C~r1isle, PA 17013
rhis notice Vlas prepared 3nd signed ?t
PHILADELFHIA; Fi';
_._"__,_________________,__.~ , on thiF,
thE
o 7th day of
December
2005
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S;\Jnature ~ '~ I -f;tI8 i2)_L"e,.t".c. Ce.:llP"S Compliallce
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(NOTE: Certificc.te of <.Jfficer authonz8d by law to take aCknowledgments jo;; r,O'[ e::;serlt;,,1 to the 'Jslidity 01 Certificate of Reiease of
r,'!dp.rsl Tax lier. Rev. Ru!. 71-466,1971 - 2 C.B. 4091 .
Form 668 (ll IRev. 10,20001
Part t - RECORDING OFFICE CAT. NO 600261