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BUREAU OF COMPLIANCE DEPARTMENT OF REVENUE
PC BOX 280948 REVK-1 59(12-12)REV0001<9 DOCEXEC
HARRISBURG PA 17128-0948
CERTIFIED COPY OF LIEN
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NA Y 28 P 2,- 03 COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,
CW1 BERL A 1qD COUN-I-y PENNSYLVANIA
MARKET ST MUS R1b,411,kLVANjp, EIN:................................................25-1731122/000
6 E S I M P S O N ST Notice Date:....................................March 22,2014
MECHANICSBURG PA 17055-3864 Notice Number:...............................679-327-914-031-7
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.
1 2 3 4 5 6
TAX TYPE ACCOUNT ID TAX TAX TAX TOTAL
PERIOD PERIOD
BEGIN END
SALES 21557246 07-01-13 09-30-13 374.61 449.32
TOTAL: 374.61 449.32
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 480.82
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
SCrAOF C YO
F REVENUE DATE
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PART 1 -TO BE RETAINED BY RECORDING OFFICE 0ju4 0?a'
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