HomeMy WebLinkAbout10-3334PA DEPARTMENT OF REVENUE pennsylvania
BUREAU OF COMPLIANCE 10
LIEN SECTION DEPARTMENT OF REVENUE
PO BOX 280948
HARRISBURG PA 17128-0948 REV-159 CM DOCEXEC (10-09)
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
NAME AND ADDRESS:
RICHARD FOREMAN JR
386 SPRINGFIELD ROAD
SHIPPENSBURG PA 17257
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to the laws of the Conmonwealth of Pennsylvania,
there is herewith transmitted • certified copy of a lion
to be entered of record in your county
CERTIFIED COPY OF LIEN
191-46-4765
CLASS OF TAX PERIOD DATE OF ASSESSMENT
DETERMINATION OR IDENTIFYING
TAX
TOTAL
TAX (OR DUE DATE) SETTLEMENT NUMBER
1 2 3 4 5 6
P.I.T. 2007 DEC 09 2008 S77566 417.00 504.25
P.I.T. 2008 JUL 24 2009 L89395 410.00 466.58
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TOTALS $827.00 $970.83
J U L 08 2010 FILING FEE(S)
INTEREST COMPUTATION DATE $19.00
SATISFACTION FEE(S) Q
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the Secretary of Revenue for his authorized delegate) of the Commonwealth of
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Pennsylvania. certifies this to be a true an d correct copy of a lien against the above-named
taxpayer for unpaid tax, interest, additions or penalties thereon due fro¦ such taxpayer ADDITIONAL INTEREST
and which, after demand for payment thereof, remains unpaid. The amount of such unpaid
i
a
tax, interest, additions or penalties 3s a lien in favor of the Commonwealth of Pennsylvan
upon the taxpayer's property, real, personal or both, as the case ¦ay be.
SETTLEMENT TOTAL
/ 0998.33
APR 15 2010
SECRETARY OF REVENUE DATE
(OR AUTHORIZED DELEGATE) PART 1 - TO BE RETAINED BY RECORDING OFFICE
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