HomeMy WebLinkAbout08-3989BUREAU OF COMPLIANCE
P.O. Box 280948
REV-159 CM AFP (09/05)
HARRISBURG, PA 17128-0946
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANI~i
82538761 ~, ~ ~, 34 ~ S ~_~-~-~-( ~~
NAME AND ADDRESS: GARY CHRONISTER
IND AND AS PRES OF
PATRIOTIC VENTURE INC
AMELIAS PATH EAST
MECHANICSBURG PA 17050
TO THE PROTHONOTARY OF SAID COURT:
ruRSUAxr To rto: I.Aws aF THE mtdtitoNwEALTa oP rENNSVI.vANtA
THERE 1SHEREwITH TRAxsavrlrn Af~fiRTQ+® (X1PY ~ LBT21 CERTIFIED COPY OF LIEN
TO BE ENTERED OF RECORD IH YOUR COUNTY.
DATE OF
CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING TAX TOTAL
TAX (OR DUE DATE) DETERMINATION NUMBER
OR SETTLEMENT
SALES 10/01/04 -12/31/06 10/03/07 C099999 $35,731.13 $61,021.64
TOTALS $35,731.13 $61,021.64
FILING FEE (S)
INTEREST COMPUTATION DATE nsn4m>z $19.00
The undersigned, the Sersetary of revenue (a his authorized delegate) of tha Commomvahh ADDITIONAL INTEREST
of Pennsylvania, certifies this to be true srd correct copy of a lien against the above named
taxpayer for urq~aid tax, interest, additions or penalties thereon due from such taxpayer and
hi
ft
w
ch, a
er demand for paymem thereof, remains urgraid. The amount of such urgxid tax,
Interest, additions or penalties is s lien in favor of dte commonweahh of Pennsylvania upon
the taxpayer's property, rut, personal, or both, as the case may be. SETTLEMENT TOTAL
$61,040.64
...
_'~'~~.sAiN. """". ..y..__~.~._.......
SECRETARY OF REVENUE
(OR AUTHORIZED DELEGATE)
e Il N 0 ]. 2008
DATE
PART 1- TO BE RETAINED BY RECORDING OFFICE
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