HomeMy WebLinkAbout04-5440IUREAU OF COMPLIANCE
)EPT 280946
[ARRISBURG, PA 17128-0946
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REV-159 CMAFP(6/96)
COURT OF COMMON PLEAS OF
CUMBERLAND
202-46-5684
COUNTY, PENNSYLVANIA
NAME AND ADDRESS:
TO THE PROTHONOTARY OF SAID COURT:
PURSUANT TO TI~ LAWS OF TI~ COMMONWEALm OF PENNSYLVANIA
THERE ISHEREWITH TRANSM/TTED A CERTIFIED COPY OF LIEN
TO BE ENTERED OF RECORD IN YOUR COUNTY,
CERTIFIED COPY OF LIEN
CLASS OF TAX PERIOD
TAX (OR DUE DATE)
DATE OF
ASSESSMENT IDENTIFYING
DETERMINATION NUMBER
OR SETTLEMENT
P.I.T.
01/01/99-12/31/99 JAN 06 2004
EDWARD J ROUSH &
JUDY D ROUSH
75 BONNYBROOK RD
LOT 18
CARLISLE PA 17013
TAX
TOTAL
R90723 $1,323.00 $2,038.67
0
TOTALS $1,323.00 $2,038.67
FILING FEE
$14.00
INTEREST COMPUTATION DATE
NOV 08 2004
The undersigned, the Secretary of revenue (or his authorized delegate) of the Commonwealth ADDITIONAL INTEREST
of Pennsylvania, certifies this to be true and correc~ copy of a lien against the above mimed
taxpayer for unpaid ~ax, interest, additions or penalties thereon due f~om such !axpayer and
which, aRer demand for payment thereof; remains unpaid. The amount of such unpaid tax,
Interest, additions or penalties is a lien in favor of the commonweahh of Penmylvanie upon SETTLEMENT TOTAL
the taxpayer's prope~y, real, personal, or both, ns the c~se may he
SECRETAR¥'O. FREvENUE DATE
(OR AUTHORIZED DELEGATE)
PART 1 - TO BE RETAINED BY RECORDING OFFICE
C) '13
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