HomeMy WebLinkAbout08-1155BUREAU OF COMPLIANCE
PO BOX 280946 REV-159 CM AFP (6196)
HARRISBURG, PA 1 7 1 2 8-0946
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
90819677
NAME AND ADDRESS: KRISTA A BAER KREBS
IND AND AS PRES OF
HEALTHCORE LLC
71 COLD SPRINGS RD
CARLISLE PA 17013
TO THE PROTHONOTARY OF SAID COURT:
PURSUANT TO THE LAWS OP THE COMMONWEALTH OF PENNSYLVANIP CERTIFIED COPY OF LIEN
THERE ISHERE WITH TRANSMITTED A CERTIPIED COPY OF LIEN
TO BE ENTERED OF RECORD IN YOUR COUNTY.
DATE OF
CLASS OF TAX PERIOD. ASSESSMENT IDENTIFYING TAX TOTAL
TAX (OR DUE DATE) DETERMINATION NUMBER
OR SETTLEMENT
$1,280.61
EMPL 10/01/05-12/31/05 10/29/07 C099998 $677.04
TOTALS $ 677,04 $1,280.61
FILING FEE (S) $19,QQ
INTEREST COMPUTATION DATF nsrosroR
The undersigned, the Secretary of revrnue (a his authorized delegate) of the Commonwealth ADDITIONAL INTEREST
of Pennsylvania, certifies this to be true and correct copy of a lirn against the above named
enalties thereon due from such taxpayer and
additions or
i
t
est
id t
f
p
n
er
,
or unpa
ax,
taxpayer
which, after demand for payment thereof, remains unpaid. The amount of such unpaid tax,
Interest, additions or peaalties is a lien in favor of the commonwealth of Prnnsylvania upon SETTLEMENT TOTAL $1
299
61
the taxpayer's property, real, ptrsonal, or bah, as the case may be. .
,
~ ~ -
SECRETARY OF REVENUE
(OR AUTHORIZED DELEGATE)
PART 1 - TO BE RETAINED BY RECORDING OFFICE
FED 2 rt ~nng
DATE
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