HomeMy WebLinkAbout09-1648BUREAU OF COMPLIANCE
P.O.Box 280948
HARRISBURG, PA 17128-0946
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COURT OF COMMON PLEAS OF
REV-159 CM AFP (07/OS)
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CUMBERLAND COUNTY, PENNSYLVANIA
14041024
NAME AND ADDRESS: NANCY M DYMOND
IND AND AS PRESIDENT OF
DYMARO INC T/A CHAMBERSBURG FITNESS CENTER
104 LOGAN LANE
SHIPPENSBURG PA 17257
TO THE PROTHONOTARY OF SAID COURT:
PURSUANT TO THE LAW S OF THE COA4dONWEALTH OF PENNSYLVANIA
THERE IStQ:REwITH TRANShurreDACERTQTED COPY OF L[EN CERTIFIED COPY OF LIEN
TO BE ENTERED OF REIbRp IN YOUR COUNTY.
DATE OF
CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING TAX TOTAL
TAX (OR DUE DATE) DETERMINATION NUMBER
OR SETTLEMENT
EMPL 4-1-OS to 12-31-07 10-30-08 CO-99998 $9,740.67 $18,897.93
TOTALS $9,740.67 $18,897.93
FILING FEE (S)
INTEREST COMPUTATION DATF. 5-24-09 $19,00
The undersigned, the Secretary of revenue (or his authorized delegate) of the Comrtanweahh ADDITIONAL INTEREST
of Pennsylvania, certifies this to be true and correct copy of a lien against the above named
taxpayer for unpaid tax, interest, addhions or penalties thereon due from such taxpayer and
which, after demand for payment thereof, remains urryaid. The amount otauch unpaid tax,
Interest, addhions orpenahies is a lien m Favor of the cormanweahh of Pennsylvania upon SETTLEMENT TOTAL
the taxpayers property, real. personal, or both, as the case may be.
$18,916.93
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SECRETARY OF REVENUE
(OR AUTHORIZED DELEGATE)
MAR 1220(19
DATE
PART 1- TO BE RETAINED BY RECORDING OFFICE
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