HomeMy WebLinkAbout03-0783PA DEPARTMENT OF REVENUE
BUREAU OF COMPLIANCE
DEPT. 280948
HARRISBURG, PA 17128-0948
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COURT OF COMMON PLEAS OF
NAME AND ADDRESS:
CUMBERLAND
81287667
COUNTY, PENNSYLVANIA
KELLY JO SMELTZ
INDIVIDUAL AND AS SEC/TREAS OF
THE CUPBOARD MAKER INC
169 JAMES STREET
ELIZABETHVILLE PA 17023
TO THE PRDTHONOTARY OF SAID COURT:
CERTIFIED COPY OF LIEN
CLASS OF
TAX
SALES
TAX PERIOD
(OR DUE DATE)
I
1/1/01-
6/30/01
DATE OF
ASSESSHEHT
DETERN INATION
OR SETTLERENT
10/03/02
IDENTIFYING
NUMBER
CO66666
INTEREST COMPUTATION DATE
4/24/03 TOTALS
TAX
$766.94
$766.94
FILING FEE(S)
SETTLEMENT TOTAL
TOT~L,
,~; 1--~297 · 33
$1,297.33
14.00
ECRETARY OF REVENUE
(OR AUTHORIZED DELEGATE)
PART I
FEB 2 0 2003.
DATE
- TO BE RETAINED BY RECORDING OFFICE
BUREAU OF COMPLIANCE
DEPT. 280946
HARRISBURG PA 17128-0948
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
AUTHORITY TO SATISFY
REV-300 CM AFP (~96)
ARP 43845
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
V
KELLY JO SMELTZ
INDIVID AND AS SEC/TREAS OF
THE CUPBOARD MAKER INC.
169 JAMES STREET
ELIZABETHVILLE PA
17023
COURT OF COMMON PLEAS OF
CUMBERLAND
PENNSYLVANIA.
Docket Number
Date Filed
Class of Tax
Account Number
Assessment Number
COUNTY,
NO.03-783 CIVIL TER
2121/2003
SALES
81-28766-7
CO-66666
TO THE PROTHONOTARY OF SAID COURT:
The Commonwealth of Pennsylvania, Department of Revenue, the Plaintiff in the above action,
acknowledges having received of the Defendant above named, full payment and satisfaction of the above
captioned Lien/Judgement Note, with the interest and costs thereon due it; and desires that satisfaction be
entered upon the records thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your costs of satisfaction are hereby
authorized and empowered, in the name and stead of the Plantiff, to enter full satisfaction upon the record as
fully and effectually, to all intents and purposes, as we could were we present in person to do so; and for so
doing, this shall be your sufficient warrant of authority.
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the Department of Revenue, Commonwealth
of Pennsylvania, this 17TH day of APRIL, 2003
GREGORY C. FAJT
Secretary of Revenue
Director, Bureau of Compliance
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