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BUREAU OF COMPLIANCE DEPARTMENT OF REVENUE
PO BOX 280948 REVK-159(12-12)REVOOOK9 DOCEXEC
HARRISBURG PA 17128-0948
TA
R 0 CERTIFIED COPY OF LIEN
20 1 L; Vi A Y 2 8 F H 0
COURT OF COMMON PLEAS OF
CUMBERLAND COUND' CUMBERLAND COUNTY,
�E�YLVANIA PENNSYLVANIA
MARTIN J PASTUCK EIN:................................................23-2149191/000
1430 BRIDGE ST Notice Date:....................................March 22,2014
NEW CUMBERLAND PA 17070 Notice Number:...............................679-151-114-031-7
• 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
EMPL 13478961 07-01-13 09-30-13 2,294.19 3,265.38
TOTAL: 2,294.19 3,265.38
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 3,296.88
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
9'KrARY OF REVENUE DATE
(OR UTHORIZED DELEGATE) PART 1 -TO BE RETAINED BY RECORDING OFFICE q �r t,so PA
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BUREAU OF COMPLIANCE
PO BOX 280948
HARRISBURG PA 17128-0948
pennsyl^a .
DEPARTMENT OF REVENLJE
AUTHORITY TO SATISFY
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT DFREVENUE
V. COURT OFCOMMON PLEAS OF
CUMBERLAND COUNTY,
PENNSYLVANIA
MARTIN J PASTUCKA DDS
1430 BRIDGE ST
NEW CUMBERLAND PA I7070
DOCKET NUMBER- 14-3261-C
DATE FILED- May 28, 2014
E|N' 23-2140191/000
NOTICE NUMBER. 948'234-014'080-6
To the Prothonotary of CUMBERLAND County:
The Commonwealth of Pennsylvania, Department of Revenue, the Plaintiff in the above action, acknowledges the
above -captioned Lien/Judgment note should be removed from the records thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your costs of satisfaction, are hereby authorized and
empowered in the name and stead of the Plaintiff to enter full satisfaction upon the record as fulland effectually, to
all intents and purposes, as we could were we present in person to do so. For doing so, this shall be sufficient warrant
of authority.
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the Department of Revenue, Commonwealth of
Pennsylvania, this 06 day of August, 2014.
Daniel Meuser
Secretary of Revenue
Mary Hubler
Director, Bureau of Compliance
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