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BlJREAli OF COMPLlANCI: PO 130 X 280946 HARRISBURG, PA 17128.0946 ~Jct. P~cf{ · IVlJ"D Uzfl J. 3S' Qu./ /6'fO'f / (') C~ ....", c';> c';;:) of' '* o -n --I .." '. <-- :r: ::D ~r-:.!5:9 C>,f~(6/96f!~r; -:;-c"'-- I -:na U w c~6 ~~ ~ ~.'} ~\~ .; ,.' ::"': ~: ~:~ ~ ~'Tl :'~:; &'" ::q, ---:. --l COURT OF COMMON PLEAS OF CUMBERLAND 67394245 fUb 6-/5 ~ '1Z- COUNTY, PENNSYLVANIA NAME AND ADDRESS: SCOTT A WELLS IND AND AS PRES OF WELLS PRINTING INC 600 BEACON HILL ROAD NEW CUMBERLAND PA 17070 TO THE PROTHONOTARY OF SAID COURT: PURSUANT TO THE LAWS OF THE COMMONWEAL Tl-I OF PENNSYLVANIA 11{ERE ISHEREWITHTRANSMlTIED A CERTIFIED COPY OF Llf.N CERTIFIED COpy OF LIEN TO BE ENTERED OF RECORD IN YOUR COUNTY DATE OF CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING TAX TOTAL TAX (OR DUE DA TEl DETERMINATION NUMBER OR SETTLEMENT S& U 10/01/99-09/30/00 10/07/04 C099999 $3,204.06 $5,626.18 TOTALS $3,204.06 $5,626.18 FILING FEE (5) $14.00 INTE.REST COMP\JT ATION DATF 031nlO'i The undersigned, the Secretary of revenue (or his authorilcd delegate) oflhe [llrnmonwealth ADDITIONAL INTEREST of Pennsylvania, certifies Ihis to be true and correCl copy 01' a liell again~t the allOve named taxpayer for unpaid tax, interest, additions or penalties thereon due Irol11 sllch t~xpaver an<l which, after demand for payment thereof remains unpaid Tile amount orweh unpaid wx, IntereSl,additionsorpenahiesis alien in favor of the comlllonw ealtl1"rPcnnsvlvaniaupon SETTLEMENT TOTAL thetaxpayer'S$operty, real,personal,orboth,asthe case maybe /' ", /", C .-/ , C-/::~/. r>' .r'Y'-:;c~:':: "2 '\',..--(.....--:;"/J.--_ // , r~<.l ,/ /) /l-~~~ DEe 2 920fll\ , '/ SECRE (ORAlIT OF REVENUE RIZED DELEGATE) PART I - TO BE RET AINED BY RECORDING OFFICE DATE , " . 0 ~ ~ , :: .;; ~ >< X ... .. >< <0: g ~ ~.. 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