HomeMy WebLinkAbout12-2271/a- 02a7l 61,1vitTe-rin
PA DEPARTMENT OF REVENUE 4 a'.50 PO PCPF pen nsyLvania
B
UREAU OF SECTIONCOMPLIANCE n
LIEN
PO BOX 280948 (i ?5t0?Jo? ?78 DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0948 ? . a 7,3&/4 REV-159 CM DDCEXEC (19-99)
...d' :..? Q ?.3
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA y
NAME AND ADDRESS:
TO THE PROTHONOTARY OF SAID COURT:
Pu..... t to the laws of the Commonwealth of Penns yl van i.,
there is herewith trans-itted a certified copy of a lien
to he entered of record in your county
CERTIFIED COPY OF LIEN
173-68-8914
ADAM GARBER
747 ERFORD RD
CAMP HILL PA 17011-1126
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 JUN 06 2011 L97480 728.00 981.16
TOTALS
5728.00 5981.16
INTEREST COMPUTATION DATE MAY 24 2012 FILING FEE(S)
$21.50
The undersigned, the Secretaryy of Revenue (or his authorized delegate) of the Commonwealth of SATISFACTION FEE(S)
Pennsylvania, certifies this to be a true and correct copy of a lien against the above-named
5 10 e 0 0
taxpayer for unpaid tax, interest, additions or penalties thereon due from such taxpayer ADDITIONAL INTEREST
and which
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d f
t th
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i
,
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e
or paymen
ereo
, rema
ns 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.
SETTLEMENT TOTAL *1012. 6 6
4 4 ? MAR 01 2012
SECRETARY OF REVENUE DATE
(OR AUTHORIZED DELEGATE) PART 1 - TO BE RETAINED BY RECORDING OFFICE
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