HomeMy WebLinkAbout12-2265PA DEPARTMENT OF REVENUE
BUREAU OF COMPLIANCE
LIEN SECTION
PO BOX 280948
HARRISBURG PA 17128-0948
is - as 405 8-vi Ten,
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(?'73lo?D DEPARTMENT OF REVENUE
REV-159 CM DOCEXEC (10-09)
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
NAME AND ADDRESS:
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to the laws of the Con-wealth of Pennsylvania,
there is herewith transeittad • certified copy of a lien
to be entered of record in y or county
CERTIFIED COPY OF LIEN
196-48-2678
rat G ~:
1
'D 7
!_.,
FRED C MILLER
1510 THOMPSON LN
MECHANICSBURG PA 17055-6732
CLASS OF TAX PERIOD DATE OF ASSESSMENT
DETERMINATION OR IDENTIFYING
TAX
(OR DUE DATE)
SETTLEMENT
NUMBER TAX TOTAL
1 2 3 4 5 6
P.I.T. 2009 OCT 18 2010 099912 906.00 987.86
P.I.T. 2010 OCT 28 2011 P04676 1310.00 1448.00
TOTALS
52216.00 $2435.86
INTEREST COMPUTATION DATE J U N 0 6 2 0 12 FILING FEE(S)
$21.50
The undersigned, the Secretary of Revenue (or his authorized delegate) of the Commonwealth of SATISFACTION FEE(S)
$ 10
0 0
Pennsylvania, certifies this to be a true and correct copy of a lien against the above-named e
taxpayer for unpaid t.ax, interest, additions or penalties thereon due from such taxpayer
ADDITIONAL INTEREST
and which, after demand for payment thereof, remains unpaid. The amount of such unpaid
tax, interest, additions or penalties is a lien in favor of the Commonwealth of Pennsylvania
upon the taxpayer's property, real, personal or both, as the case may be.
x, /7 SETTLEMENT TOTAL
$2467.36
4?0, /,0,0?09-
MAR 08 2012
SECRETARY OF REVENUE DATE
(OR AUTHORIZED DELEGATE) PART 1 - TO BE RETAINED BY RECORDING OFFICE
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