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Form 668 (Y)(c)
IRev. February 2004)
3460
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2 50 ~~/ ET
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Lien Unit Phone: (800) 829-3903 906609512 ,
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As provided by section 6321, 6322, and 6323 of the
are giving a notice that taxes (including interest and penalties)
Code, we
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have been assessed against the following-named taxpayer. We have made
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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~';^, ~'f=
property belonging to this taxpayer for the amount of these taxes, and z ~ r
additional penalties, interest, and costs that may accrue. .-..~ y - rn ._, ~,
Name of Taxpayer MEGGHAN MICHAUD
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Residence
18 ROUND RIDGE RD '_.~ rY~ `'
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MECHANICSBURG, PA 17055-9200
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (el, 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 Dayy for lJnpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2009 XXX-XX-1136 02/13/2012 03/15/2022 14785.96
1040 12/31/2010 XXX-XX-1136 10/31/2011 11/30/2021 11897.51
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 26683.47
This notice was prepared and signed at DETROIT, MI
the 16th day of November 2012
on this,
Signature ~ ~{ Title
ACS SBSE 22-00-0001
for P.A. BECTON (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the valioity or rvotice or reaerai ~ ax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) IRev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X