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09-3582
Form 668 (Y)(c) (Rev. February 2004) Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien X19 3sPz F7-L- Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 W/11 V0 1) Lien Unit Phone: (800) 829-3903 550298309 4 As provided by section 6321, 6322, and 6323 of the Internal Revenue 3 F93 Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made S g `? 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 r? property belonging to this taxpayer for the amount of these taxes, and -, additional penalties, Interest, and costs that may accrue. Name of Taxpayer CHRISTOPHER J & MELISSA A COUCH - ? Residence 415 ALLEGHENY DR a -' MECHANICSBURG, PA 17055-5502 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 D for Unpaid Balance Kind of Tax Ending Identifying Number Assessment R ef ling of Assessment (a) (b) (c) d) (e) (f) 1040 1 12/31/2005 XXX-XX-1899 05/29/2006 06/28/2016 1368.76 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total J$ 1368.76 This notice was prepared and signed at DETROIT, MI the 21st day of May 2009 , on this, Signature A Title ACS 22-00-0008 for MICHAEL W. COX (800) 829-3903 (NOTE: Certificate of officer authorized by taw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 666(Y)(t) (Rev. 2-2004) ©2,r t rla,n?a Rau f?nrnrd6na M'iC.n *** PARTIAL *** PARTIAL *** PARTIAL *** Form 668 (Z) 3756 Department of the Treasury - Internal Revenue Service * * * PARTIAL (Rev. 10-2000) Certificate of Release of Federal Tax Lien Area: Serial Number For Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 550298309 1 certify that the following-named taxpayer, under the requirements of section 6325 (a) 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 additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on June 01 r OW M ' 2009 is authorized to note the books to show the release of this lien for r ar xM these taxes and additions. tn? t qat ; Cn C:) Name of Taxpayer r-=- C:, MELISSA A COUCH only.* MELISSA A COUCH only, in th j`_' liability of CHRISTOPHER J & MELISSA A COUCH. crT; Residence 415 ALLEGHENY DR MECHANICSBURG, PA 17055-5502 COURT RECORDING INFORMATION: % Liber Page UCC No. Serial No. n/a n/a n/a 09-3582FTL Q9t Tax Period Date of Last Darr for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2005 XXX-XX-1899 05/29/2006 06/28/2016 1368.76 *The con ditions for release of th e Notice of Federal Tax Lien against CHRISTOP HER J & MELI SSA A COUCH h ave been me by MELISSA COUCH. This certific ate release the IRS's cl aim to prope rty and righ ts to property as it pe rtains to th e tax years i dentified a h ove for MELI SSA A COUCH only.* ********* ********** ************* ********** ************ *************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 1368.76 This notice was prepared and signed at DETROIT, MI , on this, the 26th day of February , 2012 Signature Title Director, Campus Compliance Operations (NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) Part 1 - RECORDING OFFICE CAT. NO 600261 4804 Department of the Treasury - Internal Revenue Service; Form 668 (Z) (Rev. 10-2000) Certificate of Release of Federal Tax Lien Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 550298309 1 certify that the following-named taxpayer, under the requirements of section 6325 (a) 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 additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on June 01 2009 , is authorized to note the books to show the release of this lien for these taxes and additions. Name of Taxpayer CHRISTOPHER J & MELISSA A COUCH Residence 415 ALLEGHENY DR MECHANICSBURG, PA 17055-5502 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 09-3582FTL Tax Period Date of Last Day for Kind of Tax Ending identifying Number Assessment Refiling For Use Unpaid Balance of Assessment CD' r-- -?CD 1040 12/31/2005 XXX-XX-1899 105/29/20061 06/28/2016* 1368.76 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 1368.76 This notice was prepared and signed at - DETROIT, MI the 02nd day of May 2012 on this, 9:50 PD ALM ET P,# 415 330 Signature Title Operations Manager, Centralized Case Processing-Lien Unit (NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) Part I - RECORDING OFFICE CAT. NO 600261