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1872
Department of the Treasury - Internal Revenue Service
Form 668 <Y)< c) Notice of Federal Tax Lien
(Rev. February 2004) fI" 11" ,';, \~ f",/.L.
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 {J'L P~W i'/lj.(N
Lien Unit Phone: (800) 829-3903 207784205
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck}.2 3 f
Code, we are giving a notice that taxes (including interest and penalties) ) It; Ol'o?
have been assessed against the following-named taxpayer. We have made j,~lC&'
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. ....,
c.~) C)
Name of Taxpayer DANIEL P MICKLE c:':, -1'1
en
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Residence 1 CARRIAGE RD -.J .-:--bCl
NEW CUMBERLND, PA 17070-2302 ~:~!S
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, C\..,
unless notice of the lien is refiled by the date given in column (e), this notice shall, .,~ :XJ
on the day following such date, operate as a certificate of release as defined u;) .<
in IRC 6325(a).
Tax Period Date of Last Dad'; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 191-56-3976 OS/27/2002 06/26/2012 1951.52
1040 12/31/2002 191-56-3976 11/17/2003 12/17/2013 10300.35
1040 12/31/2003 191-56-3976 09/20/2004 10/20/2014 14812.34
Place of Filing
Prothonotary
Cumberland County Total $ 27064.21
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
06th day of January
2005
Signature
Title
ACS
(800) 829-3903
23-00-0008
for L LEDER
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rut. 71-466, 1971 - 2 C.B. 409)
Part. - Kept By Recording Office
Form 668(Y)(c} (Rev. 2-20041
CAT. NO 60025X
3 619 Department of the Treasury - Internal Revenue Service
Form 668 {z}
(Rev. 14-2440) 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 247784205
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 January 27 3 —1
2005 , is authorized to note the books to show the release of this lien for
these taxes and additions. ;r7_1 rr1
Name of Taxpayer �C)> W C)
DANIEL P MICKLE
G -t•1
)>
Residence 1 CARRIAGE RD
NEW CUMBERLND, PA 17070-2302
COURT RECORDING INFORMATION. j.,
Liber Page UCC No. Serial No.
n/a n/a n/a 05-505 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment ReMg of Assessment
W b a d e f
1040 12/31/2001 XXX-XX-3976 05/27/2002 06/26/2012 1951.52
1040 12/31/2002 XXX-XX-3976 11/17/2003 12/17/2013 10300.35
1040 12/31/2003 XXX-XX-3976 09/20/2004 10/20/2014 14812 .34
Place of Filing
Prothonotary
Cumberland County Total $ 27064 .21
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 27th day of March 2013
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