HomeMy WebLinkAbout07-7106PA DEPARTMENT OF REVENUE
BUREAU OF COMPLIANCE
LIEN SECTION
PO BOX 280948
HARRISBURG, PA 17128-0948
NOV 16 2007
REV-159 CM AFP (07-05)
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COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
WILLIAM L DERRICK
GALE M DERRICK
NAME AND ADDRESS: 387 N 19TH ST
CAMP HILL
TO THE PROTHONOTARY OF SAID COURTi CERTIFIED COPY OF LIEN
Pursuant to tho lwa of tM Coaaanwalth of Ponnsylvanla, "
thoro 1a harawlth trana.lttotl a GrtlfloA Copy of a Lion 1 6 1- 3 4- 2 1 5 1
Yo bo ontorod of rooorA 1n your County.
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PA 17011-3934
DATE OF
CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING
TAX
TOTAL
TAX COR DUE DATE) DETERMINATION NUMBER
OR SETTLEMENT
1 2 3 4 5 6
P.I.T. 01-01-02 TO MAR 16 2007 L21926 1,079.14 2,275.94
12-31-02
P.I.T. 01-01-03 TO JUN 29 2007 L38312 2,505.00 3,760.61
12-31-03
rorALS
DEC 09 2007 $3 584.14 $6, 036.55
INTEREST COMPUTATION DATE
FILING FEE(S)
$19.00
ADDITIONAL INTEREST
Tha undersigned. the Secretary of Revenue Cor his authorized dala9ate) of the Coaaonwealth
of Pennsylvania. cart ifies this to be a true and correct copy of a lien a9ainat the sbove-
naaed taxpayer for unpaid tax, interest. additions or penalties thereon due frog such tax- SETTLEMENT TOTAL
payer and which, after deaand for payaent thereof, regains unpaid. The mount of such un- $ 6 0 5 5 . 5 5
peas can, inaerasa, auuacauns ur a.vnaaaavs as a •arn an raver ur env a.v~-vnwvaa a„ yr rvnnsyavan as
upon the taxpey 's property, real, personal, or both, ss the case ^ay 6e.
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~~~~ 21 2001
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SECRETARY OF REVENUE DATE
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