HomeMy WebLinkAbout08-4628BUREAU OF COMPLIANCE
P.O. Box 280948
HARRISBURG, PA 17128-0946
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COURT OF COMMON PLEAS OF CUMBERLAND
83318209
NAME AND ADDRESS:
TO THE PROTHONOTARY OF SAID COURT:
PURSUANT TO THE LAWS OF THE COMMONWEALTH OF PENNSYLVANIA CERTIFIED COPY OF LIEN
THFRE ISHEfIE W ITH TRANSMITTED A CERTIFIED COPY OF L[EN
TO BE ENTERED OF RECORD IN YOUR COUNTY.
REV-159 CM AFP (07/05)
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COUNTY, PENNSYLVANIA
JULI CONRAD BOS5ERT
IND AND AS PRES/TREAS OF
PURSENABELLE
339 FUTURITY DRIVE
CAMP HILL PA 17011
DATE OF
CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING TAX TOTAL
TAX (OR DUE DATE) DETERMINATION NUMBER
OR SETTLEMENT
SALES 12101105-12/31/06 03110/08 C099999 $3,791.05 $6,260.48
TOTALS $3,791.05 $(,260,4$
FILING FEE (S)
INTEREST COMPUTATION DATF (I9/2R/0R $19.00
The undersigned, the Secretary of avenue (or his authorized delegate) of the Commonwealth ADDITIONAL INTEREST
of Prnnsylvanis, certi6a this to be true and correct copy of a lien against tht above named
additions or penalties thereon due from such taxpaytt and
taxpayer for urryaid tax
interest
,
,
which, after demand for payment thereof, remains unpaid The amount of such unpaid tax,
Interest, additions m prnahies is a lirn in favor of she commonwealth of Prnnsylvania upon SETTLEMENT TOTAL
the taxpayer's property, real, personal, or both, as the case may be.
$6,279.48
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SECRETARY OF REVENUE
(OR AUTHORIZED DELEGATE)
Jll(. 3 Q ?008
DATE
PART 1 - TO BE RETAINED BY RECORDING OFFICE