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Department of the Treasury - Internal Revenue Service
Form 668 ( 2004)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 913 -6050 942536613
As provided by section 6321, 6322, and 6323 of the Internal Revenue 13 - 31 1 061
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 rights to ;EJ C=
property belonging to this taxpayer for the amount of these taxes, and % *�
additional penalties, interest, and costs that may accrue. �,k C
- . rC,
Name of Taxpayer MEGGHAN MICHAUD F
Ate ',
Residence 18 ROUND RIDGE RD
MECHANICSBURG, PA 17055 -9200 M
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 �r
in IRC 6325(a).
Tax Period Date of Last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2008 XXX -XX -1136 05/20/2013 06/19/2023 17803.35
1040 12/31/2011 XXX -XX -1136 03/25/2013 04/24/2023 7885.52
Place of Filing
Prothonotary
Cumberland County Total $ 25688.87
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 31st day of May 2013
Signature Title
ACS SBSE 23 -00 -0008
for P.A. BELTON (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) Form 668(Y)(c) (Rev. 2 -2004)
Part t - Kept By Recording Office CAT. NO 60025X