HomeMy WebLinkAbout05-0729
PA DEPARTMENT OF REVENUE
BUREAU OF COMPLIANCE
OEPT. 280948
HARRISBURG, PA 17128-0948
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JAN 28 2005
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COURT OF COMMON PLEAS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
NAME AND ADDRESS:
HELEN J MYERS
2300 MARKET ST
CAMP HILL
PA
17011
TO THE PROTHONOTARV OF SAID COURT:
Pllrsuant tG tlrl Ill.'" of 'UI. CUlan.nltll of hnns~lnnh.
thlrl1shlrllllthtransl1tttldaCutJlJldCopjofal.1ln
to h antend lit rltard In jour COllnt~.
CERTIFIED COPY OF LIEN
227-48-8742
DATE OF
CLASS OF TAl( PERIOD ASSESSMENT IDENTIFVING
TAX (OR. DUE MTEJ DETERMINATION NUMBER
OR SETTLEMENT
2 , ,
P.LL 01-01-98 TO MAY 14 2004 T81648
12-31-98
P.LL 01-01-99 TO AUG 08 2003 P98923
12-31-99
TAX
TOTAL
.
,
4,077.00
6,633.55
3,226.00
5,011.57
INTEREST COMPUTATION DATE
FEB 18 2005
TOTALS
$7,303.00
$11 645.12
FllllolG FEElS)
The underslgnel;t, the Secretary of Revenue (or hls lluthol'"lzed dellg,t,l of the CQmlllonwlalth
of Pennliylvenlll, certifies this to b. iii tr-UI IInd correct copy of Ii 118n 8981nst the abo.....
nemllll taxpayer fClr unp.1d tllC, .tnt.rest. additions or penalties thereon due from S:Ul;ll't t"x-
payer and loIl'tich, after dellllnd for paYfllent thereof, rem8ins unpaid. The amount of sutlll un-
paid tax, interest, additions or PeneIties 1s . l1en In fevor of the COlllmonwealth of ~ennsYlvanla
upon the taxpay 's property. rell, personal, or both, as the CiliU may be.
ADDITIONAL INTEREST
SETTLEMENT TOTAL
~~
FEB 07 Z009
DATE
PART 1 - TO BE RETAINED BY RECORDING OFFICE
BUREAU OF COMPLIANCE
OEPT 280946
HARRISBURG PA 1712$-.0946
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
AUTHORITY TO SATISFY
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REV.300 eM AFP (3-96)
ARP 49536
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
V
COURT OF COMMON PLEAS OF
HELEN J MYERS
2300 MARKET ST
CAMP HILL PA 17011
CUMBERLAND
PENNSYLVANIA_
COUNTY,
Docket Number 05-729CIVIL TERM
Date Filed 2/9/2005
Class of Tax PIT
Account Number 227-48-8742
Assessment Number T81648, P98923
TO THE PROTHONOTARY OF SAID COURT;
The Commonwealth of Pennsylvania, Department of Revenue, the Plaintiff in the above action,
acknowledges having received of the Defendant above named, full payment and satisfaction of the above
captioned Lien/Judgement Note, with the interest and costs thereon due it; and desires that satisfaction be
entered upon the records thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your costs of satisfaction are hereby
authorized and empowered, in the name and stead of the Plantiff, to enter full satisfaction upon the record as
fully and effectually, to all intents and purposes, as we could were we present in person to do so; and for so
doing, this shall be your sufficient warrant of authority.
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the Department of Revenue, Commonwealth
of Pennsylvania, this 18TH day of MARCH 2005_
GREGORY Co FAJT
Secretary of Revenue
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'ti'TH J. RICHARDSON
Director, Bureau of Compliance
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