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Department of the Treasury - Internal Revenue Service
Form 668 M(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 748417011 3/
A /3 3
s 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 e= r,
a demand for payment of this liability, but it remains unpaid. Therefore,
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there is a lien in favor of the United States on all property and rights to :?D co
property belonging to this taxpayer for the amount of these taxes, and ff, r, i
additional penalties, interest, and costs that may accrue.
,
Name of Taxpayer MICHAEL GUION 3:b
Residence 117 SHOLLY DR Z-
MECHANICSBURG, PA 17055-5842
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice the lien is refil 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). 0,5 'Vil 4!
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 09/30/2008 XXX-XX-6353 04/26/2010 05/26/2020 2557.04
CIVP 12/31/2008 XXX-XX-6353 04/26/2010 05/26/2020 5816.92
CIVP 03/31/2009 XXX-XX-6353 04/26/2010 0.5/26/2020 5002.83
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 13376.79
This notice was prepared and signed at
the 28th day of January
DETROIT, MI
9niI
, on this,
Signature Title
t" ACS SBSE 22-00-0001
for FRED BANKS -44 (800) 829-3903
(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
3756 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
Certificate of Release of Federal Tax Lien
(Rev. 10-20001
Recording Office
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Area: e
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SMALL BUSINESS/SELF EMPLOYED AREA #2
748417011
Lien Unit Phone: (800) 913-6050
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 February 04
f
-
3
or
2011 , is authorized to note the books to show the release of this lien a
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these taxes and additions. r
r
Name of Taxpayer
CD
MICHAEL GUION t"
C,
Residence 117 SHOLLY DR :7 y .
c-
MECHANICSBURG, PA 17055-5842
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
?
n/a n/a n/a 11-1334FTL K
Tax Period Date of Last Day for
Refilin Unpaid Balance
of Assessment
Kind of Tax Ending Identifying Number Assessment g (f)
(a) (b) (C) d (e
20 04
2557
CIVP 09/30/2008 XXX-XX-6353 04/26/2010 05/26/20 .
CIVP 12/31/2008 XXX-XX-6353 04/26/2010 05/26/2020 5816.92
CIVP 03/31/2009 XXX-XX-6353 04/26/2010 05/26/2020 5002.83
****
******** ********** ************* ********** ************ ************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
the 25th day of April
Total 1$ 13376.79
, on this,
2012
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 or
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