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BUREAU OF n'mwos DEPARTMENT opREVENUE
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HARRISBURG px`r,m+o94o .
' CERTIFIED COPY OF LIEN All
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CUMBERLAND COUNTY,
COUNT\/ PENNSYLVANIA
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PHOU��S/�LITH ENTE" ����LVA��. ` s|m:................................................u7'oo^u416/0oo
3808 MARKET 8T Notice Date:....................................April oo e014
Notice Number: 749'o87y14�41's
CAMP HILL PA l7�ll -4��� ----------
To the Prothonotary of said court: Pursuant to the laws of the
Commonwealth of ponns9|von|a, mem is herewith transmitted aoortifiod
copy ofulien 1oboentered ofrecord inyour county.
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TAX TYPE ACCOUNT ID TAX TAX TAX TOTAL
PERIOD PERIOD
BEGIN END
SALES 85180963 10-01-13 10-31-13 1,210.94 1,452.34
TOTAL: 1,210.94 1,452.34
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 1,483.84
INTEREST CALCULATION DATE: 07-14-14
The undersigned,the Secretary of Revenue or authorized delegate of the Commonwealth of Pennsylvania, certifies this to be otrue and correct copy
of a lien against the above-named taxpayer for unpaid tax, interest, additions or penalties therein due from such taxpayer and which,after demand for
payment vv/. remains unpaid. The amount of such unpaid tax, immmm, additions o, penalties is a lien in favor or the Commonwealth of
Pennsylvania upon the taxpayer's property'mal,personal or both'aothe case may be.
April en.cn1«
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PART 1 'TOssRETAINED avRECORDING OFFICE
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