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BUREAU OF COMPLIANCE DEPARTMENT OF REVENUE
PO BOX 280948 REVK-159(12-12)REV0001<9 DOCEXEC
HARRISBURG PA 17128-0948
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CERTIFIED COPY OF LIEN
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COURT OF COMMON PLEAS OF
CI RL A No CGL.IN i y CUMBERLAND COUNTY,
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PAIGE, CATHERINE V` EIN:................................................25-1876130/000
52 S BEDFORD ST Notice Date:....................................April 20,2014
CARLISLE PA 17013-3302 Notice Number:...............................749-110-114-041-5
To the Prothonotary of said court: Pursuant to the laws of the
Commonwealth of Pennsylvania, there is herewith transmitted a certified
copy of a lien to be entered of record in your county.
1 2 3 4 5 6
TAX TYPE ACCOUNT ID TAX TAX PERIOD PERIOD TAX TOTAL
BEGIN END
SALES 81807856 07-01-09 09-30-09 160.50 254.56
SALES 81807856 10-01-09 12-31-09 183.60 288.95
SALES 81807856 04-01-10 06-30-10 136.10 211.51
SALES 81807856 07-01-12 09-30-12 151.80 224.91
SALES 81807856 10-01-12 12-31-12 132.00 194.58
TOTAL: 764.00 19174.51
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 1,206.01
INTEREST CALCULATION DATE: 07-14-14
The undersigned,the Secretary of Revenue or authorized delegate of the Commonwealth of Pennsylvania,certifies this to be a true 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 thereof, remains unpaid. The amount of such unpaid tax, interest, additions or penalties is a lien in favor of the Commonwealth of
Pennsylvania upon the taxpayer's property-real,personal or both-as the case may be.
April 20,2014
S CPOfARY OF REVENUE DATE
(OR AUTHORIZED DELEGATE)
PART 1 TO BE RETAINED BY RECORDING OFFICE DAA
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