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BUREAU OF COMPLIANCE DEPARTMENT OF REVENUE
PC BOX 280948 REVK-159(12-12)REVOOOK9 DOCEXEC
HARRISBURG PA 17128-0948
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CERTIFIED COPY OF LIEN
III Null 2 7 A N 8: 0
COURT OF COMMON PLEAS OF
CUMBERLAND
CUM-_r'Er'?,!_AND COUNTY PENNSYLVANIA COUNTY,
PCONSTRUCTION SERVf 61M Y1,WLARATED LLC EIN:................................................20-5991505/000
PO BOX 349 Notice Date:....................................April 20,2014
NEW CUMBERLND PA 17070-0349 Notice Number:...............................749-227-114-041-5
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 TAX TOTAL
PERIOD PERIOD
BEGIN END
EMPL 93286581 10-01-10 12-31-10 1,946.44 3,619.77
EMPL 93286581 01-01-11 03-31-11 1,698.32 3,144.03
EMPL 93286581 04-01-11 06-30-11 1,878.73 3,463.97
EMPL 93286581 07-01-11 09-30-11 941.70 1,729.20
EMPL 93286581 01-01-12 03-31-12 1,143.31 2,082.22
TOTAL: 7,608.50 14,039.19
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 14,070.69
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 CPfOfARY OF REVENUE DATE A
(OR AUTHORIZED DELEGATE) PART I -TO BE RETAINED BY RECORDING OFFICE 5b
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