HomeMy WebLinkAbout09-2398COMMONWEALTH OF PENNSYLVANIA
BuaEauo COMPLANCE NUE DEPARTMENT OF REVENUE
LIEN SECTION ~~~l" ~,~~-=~~~
PO BOX 280948 p
HARRISBURG PA 17128-0948 Cl~ ~~E; 4=:=-'~'~'"`~'P"ti'~ T~;~~
REY-159 CM DOCE%EC (03-09)
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APR O1 2009
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
FRED KEPHART SR
NAME AND ADDRESS: DONNA KEPHART
124 VIRGINIA BEACH AVE
CARLISLE PA 17015-8521
TO THE PROTNONOTARY OF SAID COURT
Pursuant to th9 lws of the Cosoneaelth of Pannsylvanla,
them Sa Mrwlth trenaltNd • cartlflatl copy of a lion
to Do entered of record in your county
CERTIFIED COPY OF LIEN
191-32-9932
CLASS OF TAX PERIOD DATE OF ASSESSMENT IDENTIFYING
DETERMINATION OR
TAX
TOTAL
TAX cOR DUE DATE) SETTLEMENT NUMBER
1 2 3 4 5 6
P.I.T. 01-01-04 TO SEP 08 2008 M43084 1,419.00 2,209.35
12-31-04
TOTALS
51 419.00 52 209.35
INTEREST COMPUTATION DATE J U N 3 0 2 0 0 9 FILING FEE(S)
519.00
ADDITIONAL INTEREST
The undersigned, the Secretary of Revenue (or his authorized dal spate) of the Coaaonwealth of
of a lien apsinst the above-naaed
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Pennsvlvenis. certifies
taxpayer for unpaid tax. Snterest. additions or Denalties thereon due fro^ such tazpeyer
SETTLEMENT TOTAL
and which, sfter deaand for payaent thereof. reaeins unpeld. The aaount of such unpaid 5 2
2 2 8
3 5
tsz. interest. additions or penalties is a lien in favor of the Coaaonwealth of Pennsylvania )
.
upon the taxpayer s properly. read. personas or porn, as cne case .ay ea.
I~A~
APR 15 2009
SECRETARY OF REYENUE DATE
coR AUTHORIZED DELEGATE) PART 1 - TO BE RETAINED BY RECORD"I N6 OFFICE
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