HomeMy WebLinkAbout09-1543PA DEPARTMENT OF REVENUE
BUREAU OF COMPLIANCE
LIEN SECTION
PO BOX 280948
HARRISBURG PA 17128-0948
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Cl2 4SS`117'7.~-
MAR 04 2009
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENt OF REVENUE
REV-159 CM DOCEXEC (03-0e]
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
TO THE PROTHONOTARY OF SAID COURT,
Forwent to the leye of the Coggenyeelth of Pennsylvenie,
there is herwlth trenaaltted a urtlflad copy of • lien
to he entered of rword in your rnunty
WILLIAM L DERRICK
NAME AND ADDRESS : GAL E M DERRICK
387 N 19TH ST
CAMP HILL PA 17011-3934
CERTIFIED COPY OF LIEN
161-34-2151
CLASS OF TAX PERIOD DATE OF ASSESSMENT IDENTIFYING
DETERMINATION OR
TAX (OR DUE DATE) SETTLEMENT NUMBER TAX TOTAL
1 2 3 4 5 6
P.I.T. 01-01-04 TO AUG 29 2008 M42426 2,198.00 3,413.77
12-31-04
TOTALS
5 2 19 8. 0 0 5 3 413.7 7
INTEREST COMPUTATION DATE J U N 0 2 2 0 0 9 FILING FEE(S)
519.00
ADDITIONAL INTEREST
iha undsrslpned, the Secretary of Revenue (or his authorSZed delepata) of the Coggonweelth of
Pennsylvania, cart Sties this to be s true snd correct copy of a lien apsinst the above-paged
taxpayer for unpaid tax. interest. additlons or penalties thereon du• fro^ such taxpsyer
end which, after dsgand for peygent thereof. regains unpaid. Th• aaount of such unpaid SETTLEMENT TOTAL
tax, interest, additlons or penalties is a lien in favor of th• Coggonwealth of Pennsylvania
upon the taxpsyer's property real personsl or both th b 5 3 , 4 3 2 . 7 7
, as a ease ^sy e.
/''~'~
MAR 11 2(~s
SECRETARY OF REVENUE DATE
(OR AUTHORIZED DELEGATE) PART 1 - TO BE RETAINED BY RECORDING OFFICE
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