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HomeMy WebLinkAbout00-05512 PA DEPARTMENT OF REVENUE llUREAU OF COMPLIANCE IlEPT. 280946 HARRISBURG, PA 17128-0946 " ~. i~! REY-1S9CJ11AFP "196> Pl>tfv~O CI(ltq(o q 4 ~ ~t}; q0{pGj fiLED-OFFICE OF T"E Dr;OOT'-10NOTA.CW 00 AUG -9 AM 8: 44 CUMBERLAND COUNTY PENNSYLVANIA JUL 19 2000 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NAME AND ADDRESS: THOMAS W DERRICK 1210 WATERFORD CAMP HILL PA 17011-1229 11 TO THE:: PROTHONOTAAV OF SAID COURT: Pursuant to the lalls of the Collllllnllolllth of Pllnns,lvania, thsre.1;Itero1thtransliJ1tt8dlJtllf"tifle(/CopYMilUen toboll11tel"odofretordlnyourCO\lnt,. CERTIFIED ~OPY OF LIEN , , 201\-38-9578 Dt. TE OF CLASS OF TAX PERIOD ASSESSMENT IDENTIFVING DETERMINATION "X TOTAL TAX {OR DUE DATE) NUMBER OR SETTLEMENT 1 2 3 4 5 , P. 1. T. 01-01-96 TO MAR 10 1998 P65946 981. 00 1,297.50 12-31-96 P.LL 01-01-97 TO DEC 09 1998 071300 775.00 1,071.42 12-31-97 10TAl.S INTEREST COMPUTATION DATE AUG 07 2000 $1,756.00 $2,368.92 FILING FEECS) !l:Q nn ADDITIONAL INTEREST The undersigned, the Seereta..y of Revenue (or his authorized delegate) of the Commonwealth of PennsYlvania, certifies this to be a true and correot oopy of a 11en a,ainst the above- nB~ed taxpayer for unpaid tax. interest. additions or penelties thereon due from such tax- SETTLEMENT TOTAL pa~er end which, after demand for payment thereof, remains unpaid. 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