HomeMy WebLinkAbout04-5442BUREAU OF COMPLIANCE
PO BOX 280946
HARRISBURG, PA 17128-0946
REV-159 CM AFP (6/96)
COURT OF COMMON PLEAS OF
CUMBERLAND
188-68-5573
COUNTY, PENNSYLVANIA
NAME AND ADDRESS:
DEREK H KESSLER
24 FALCON ST
MECHANICSBURG PA 17055
TO THE PROTHONOTARY OF SAID COURT:
~ IS~ ~NSMII 1~ A ~RT~D ~ ~ L~N
TO BE E~ OF ~CO~ ~ Y~ CO~.
CERTIFIED COPY OF LIEN
DATE OF
CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING
TAX (OR DUE DATE) DETERMINATION NUMBER
OR SETTLEMENT
TAX TOTAL
PIT 01/01/99 to 12/31/99 12/17/02 P91910 $704.00
$1,083.20
TOTALS $ 704.00 $1,083.20
FILING FEE (S)
INTEREST COMPUTATION DATE
10118/O4
The undersigned, the Secretary of revenue (or his authorized delegate) of the Commonwealth
of Pannsylvania, certifies this to be true and correct copy ora lien against the above named
taxpayer for unpaid tax, interest, additions or penalties thereon due fi.om such taxpayer and
which, a~er 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 Peonsylvanla upon
the taxpayer's property, real, personal, or botK as th¢?a, se inay, be.
SECRETAR~F ~¥ENUE
(OR AUTItORIZED DELEGATE)
PART 1 - TO BE RETAINED BY RECORDING OFFICE
ADDITIONAL INTEREST
SETTLEMENT TOTAL
OCT 2 7 2O04
DATE
$14.00