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pennsylvania
BUREAU OF COMPLIANCE DEPARTMENT OF REVENUE
PO BOX 280948 REVK-159(12-12)REVOOOK9 DOCEXEC
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HARRISBURG PA 17128-0948
CERTIFIED COPY OF LIEN
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,
PENNSYLVANIA
SHOOTING THE X LLC E IN:................................................45-4356176/000
58 OLDTOWN RD Notice Date:....................................May 2,2014
GARDNERS PA 17324-9009 Notice Number:..............................248-063-114-050-2
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 85616539 07-01-12 07-31-12 560.91 694.53
SALES 85616539 06-01-12 06-30-12 217.92 281.29
SALES 85616539 05-01-12 05-31-12 339.90 456.56
EMPL 94869306 04-01-12 06-30-12 401.85 648.59
EMPL 94869306 01-01-12 03-31-12 486.75 837.36
TOTAL: 2,007.33 2,918.33
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 2,949.83
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INTEREST CALCULATION DATE: 07-31-14
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.
$af.5p PIS Ptpr
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May 2,2014
S CUTARY OF REVENUE DATE
(OR HORIZED DELEGATE)
PART 1 -TO BE RETAINED BY RECORDING OFFICE