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BUREAU OF COMPLIANCE DEPARTMENT OF REVENUE
PO BOX 280948 REVK-1 59(12-12)REVOOOK9 DOCEXEC
HARRISBURG PA 17128-0948
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h"E OTHONOUAk
_NCERTIFIED COPY OF LIEN
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281 MAY 28 PIN 2.' 02 COURT OF COMMON PLEAS OF
CUMBERLAND COUNT'S CUMBERLAND COUNTY,
PENNSYLVANIA PENNSYLVANIA
VIA ROMA LLC EIN:................................................27-2223155/000
113 E MAIN ST Notice Date:....................................March 22,2014
CAMP HILL PA 17011 -6312 Notice Number:...............................679-850-514-031-7
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.
2 3 4 5 6
TAX TYPE ACCOUNT ID TAX TAX TAX TOTAL
PERIOD PERIOD
BEGIN END
SALES 85057209 07-01-13 09-30-13 971.72 1,165.51
SALES 85057209 04-01-13 06-30-13 741.94 1,006.74
TOTAL: 1,713.66 2,172.25
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 2,203.75
INTEREST CALCULATION DATE: 06-15-14
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.
March 22,2014
S C ARY 0
'C Y F REVENUE DATE
L
T 0
(OR�UTHORIOZED DELEGATE)
PART 1 -TO BE RETAINED BY RECORDING OFFICE
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