HomeMy WebLinkAbout04-5727BUREAU OF COMPLIANCE
PO BOX 280946
HARRISBURG, PA 17128-0946
REV~IS9 CMAFP (6/96)
COURT OF COMMON PLEAS OF
CUMBERLAND
19568328
COUNTY, PENNSYLVANIA
NAME AND ADDRESS:
TO THE PROTHONOTARY OF SAID COURT:
Pvv. su^m ~o ~ L^ws OVT~E co~osw~aL~m oR ~s~v~m~
TO BE E~ OF ~CO~ ~ YO~ CO~
JOSEPH GEMBUSIA INDIVIDUALLY
AND AS PRESIDENT OF
G G G CONCEPTS INC
3510 RAINTREE LANE
MECHANICSBURG PA 17055
CERTIFIED COPY OF LIEN
DATE OF
CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING TAX
TAX (OR DUE DATE) DETERMINATION NUMBER
OR SETTLEMENT
EMPL 01-01-01 to 06-30-03 07-21-04 CO-99999 $899.08
TOTAL
$3,126.93
TOTALS $ 899.08 $3,126.93
FILING FEE (S)
INTEREST COMPUTATION DATE 2-1-05
The undersigned, the Secretary of revenue (or his authorized delegate) of the Commonwealth
of Pennsylvania, certifies this to be true and correct copy ora lien against the above named
taxpayer for unpaid tax, interest, additions or l~nalties thereon due from such taxpayer and
which, after demand for payment thereof, remains unpaid The amount of such unpaid tax,
Interest, additions o/r p~nalties is a lien in favor of the commonwealth of Pennsylvania upon
the taxpayer's prpp¢ily, real, p~er}onal, or both, as the~case may be
A"-:?;
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SECRETA .R~/F REVENUE
(OR AUTHORIZED DELEGATE)
PART 1 - TO BE RETAINED BY RECORDING OFFICE
ADDITIONAL INTEREST
SETTLEMENT TOTAL
$14.00
IIOV I)8 200,
DATE