HomeMy WebLinkAbout08-7313BUREAU OF COMPLIANCE
PO BOX 280948
HARRISBURG, PA 17128-0948 REV-1 S9 CM EPAI~608~
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
NAME AND ADDRESS:
Case C13762
THERESA GEARHART
431 MT ROCK RD
NEWVILLE, PA 17241
TO THE PROTHONOTARY OF SAID COURT:
PURSUANT TO TFIE LAWS OF THE COMMONWEALTH OF PENNSYLVAMA
,
THERE IS I-~REWITH TRANSMITTED A CERTIFIED COPY OF LIEN
TO BE EN
CERTIFIED COPY OF LIEN
TERED OF RECORD SN YOUR COUNTY
_._....._-_ _._ _.__-_.__~-T- -..-. ____
~ _
DATE OF -- ----
CLASS OF TAX PERIOD ASSESSEMENT IDENTIFYING
TAX (OR DUE DATE) DETERMINATION NUMBER
~ ~ OR SETTLEMENT i
CIGARETTE I
EXCISE ~ 5/5/2006
USE TAX ~ S/5/2006
6/25/2008 A 1271
6/25/2008 A 1271
TAX _~~ ~ ~ ~ TOTAL ~~
$11,584.15
$1,573.25
TOTALS ~ $13,157.40
~._---
FILING FEE(S)
INTEREST COMPUTATION DATE 3/3/2009
The undersigned, the Secretary of Revenue (or his authorized dekgate) of the Commonwuhh ADDITIONAL INTEREST
of Pennsylvania, certifies this to be true and correct copy of a lien against the above named ~----
taxpayer for unpaid tax, interest, additions or penalties thereon due from such taxpayer and
which, after demand for payment thereof, remains unpaid. The amoum of such unpaid tax, SETTLEMENT TOTAL
Interest, additions or penahiea is a lien in favor of the Commonweahh of Pennsylvania upon __
the taxpayar's property, real, personal, ar both, as the case may be. ~- -
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$11,584.15
$1,573.25
$19.00
$631.56
$13,807.96
_-V~~-_
SECRETARY OF REVENUE DATE
(OR AUTHORIZED DELEGATE)
PART 1- TO BE RETAINED BY RECORDING OFFICE
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