HomeMy WebLinkAbout09-8198COMMONWEALTH OF PENNSYLVANIA
PA DEPARTMENT OF REVENUE ?? r?r
BUREAU OF COMPLIANCE DEPARTMENT OF RE
LIEN SECTION1 i ??L
PO BOX 280948 0F ??
HARRISBURG PA 17128-0948 "`' " . %r.)TAR
REV-159 Ca DOC6kFC(M) (17-e9)
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OCT 26 2009
n.,. v 9- j'l 9 r &'t 4 T?,
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
"The individual listed is a corporate officer of the referenced company"
TO THE PROTHONOTARY OF SAID COURT,
Parsuant to the Imes of the C-alth of Pennsylvania,
there 1. herewith transmitted a Cartlfled COPY of a Ilan
to be entered of record in your county
NAME AND ADDRESS:
LORRAINE W BOCK
NIGHTINGALE HEALTH 81 WELLNESS SER L
20 DANNAH DRIVE
CARLISLE PA 17013
CERTIFIED COPY OF LIEN
20-4987492/000
CLASS OF TAX PERIOD DATE OF ASSESSMENT
DETERMINATION OR IDENTIFYING
TAX (OR DUE DATE) SETTLEMENT NUMBER TAX TOTAL
1 2 i 4 5 6
EMPL 09/07-12/08 JUL 13 2009 CO-88888 3797.71 6011.02
TOTALS
53797.71 $6011.02
INTEREST COMPUTATION DATE JAN 23 2010 FILING FEE(S)
$19.00
SATISFACTION FEE(S)
The undersigned, [he Secretary of Revenue Cor his authorized tlelegate) of the Co•.onw•aith of t8
50
Pennsvlran ia, certifies this to be a true and correct copy of s lien aganst the above-na•ed
i .
taxpayer for unpaid tax. inter as t, additions ar penalties thereon due fr
n Such taxpayer
ADDITIONAL INTEREST
and which, after demand for payment thereof, remains unpaid. The amount of such unpal0
tax, Interest, additions or penalties is a lien in favor of the Commonwealth of Pennsylvania
upon the taxpayer's prope
r
t
y
,
Peal, personal or both, as the case may be.
.
//'f// SETTLEMENT TOTAL
am/
j'
/er
ty
?
$6038.52
Nov 2 3 ?s
SECRETARY OF REVENUE DATE
(OR AUTHORIZED DELEGATE) PART I - TO BE RETAINED BY RECORDING OFFICE
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