HomeMy WebLinkAbout08-1157BUREAU OF COMPLIANCE
PO BOX 280946
HARRISBURG, PA 17128-0946
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COURT OF COMMON PLEAS OF
CUMBERLAND
82657001
NAME AND ADDRESS:
TO THE PROTHONOTARY OF SAID COURT:
PURSUANT T07HE LAWSOF THE COMMONWEALTH OF PENNSriVANIA CERTIFIED COPY OF LIEN
THERE ISHEREWITH TRANSMITTED A CERTIFIED COPY OF LIEN
TO EE ENTERED OF RECORD [N YOUR COUNTY.
REV-159 CM AFP (6/96)
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COUNTY, PENNSYLVANIA
ALEXANDER DOLATOSKI
IND AND AS TREAS OF
KOKOMOS
3319 LISBURN ROAD
MECHANICSBURG PA 17055
DATE OF
CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING TAX TOTAL
TAX (OR DUE DATE) DETERMINATION NUMBER
OR SETTLEMENT
$6,017.14
SALES 05/01/07-09/30/07 12/17/07 C077777 $5,061.96
TOTALS $5,061.96 $6,017.14
FILING FEE (S) $19,00
EST COMPUTATION DATA naizvns
INTER
The undersigned, the Secretary of rovrnue (or his authorized delegaze) of the Commonwealth ADDITIONAL INTEREST
of Pennsylvania, certifies this to be true and correct copy of a lien against the above named
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taxpayer for unpaid tax, interest, additions or penalties t
which, after demand for payment thereof, remains unpaid. The amount of such unpaid tax,
Interest, additions or penalties is a lirn in favor of the commonwealth of Pennsylvania upon SETTLEMENT TOTAL $(),036.14
the taxpayer's property, real, personal, or both, as the case may be.
FEB 2 d 2008
SECRETARY OF REVENUE
(OR AUTHORIZED DELEGATE)
PART 1 - TO BE RETAINED BY RECORDING OFFICE
DATE
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