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PA DEPARTMENT OF REVENUE a_D__
Pennsylvania
BUREAU OF COMPLIANCELIEN SECTIONt+ r,PO BOX 28 948 I j- lrt 4 f �_ DEPARTMENT OF REVENUE
HARRISBURG PA 17128-OW +.t� 'i'/y�nn
Orly 11 t+W o ,{rs!', REV-159 CM DOCE%EC (12-15)
4 J4 JUL _8 AH 9: 42
CG`MBBRLAFdo Cowdry
PENNSYLVANIA .
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
NAME AND ADDRESS:
DEREK T SHAFFER
870 EASY RD
TO THE PROTHONOTARY OF SAID COURT: CERTIFIED COPY OF LIEN CARLISLE PA 17015-9555
Pursuant to the laws of the Commonwealth of Pennsylvania,
there is herewith transmitted a certified copy of a lien 169-70-6689
to he entered of record in your county
ATE OF ASSESSMENT
CLASS OF TAX PERIOD DDETERMINATION OR IDENTIFYING
TAX (OR DUE DATE) SETTLEMENT NUMBER TAX TOTAL
1 2 3 4 5 6
P . I .T. 2012 DEC 20 2013 T26312 1877 . 00 2079 . 32
TOTALS
51877. 00 52079 . 32
INTEREST COMPUTATION DATE AUG 17 2014 FILING FEE(S)
521 .50
The undersigned, the Secretary of Revenue (or his authorized delegate) of the Commonwealth of SATISFACTION FEE(S)
Pennsylvania, certifies this to be a true and correct copy of a lien against the above-named 5 10 e 0 0
taxpayer for unpaid tax, interest, additions or penalties thereon due from such taxpayer ADDITIONAL INTEREST
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.
SETTLEMENT TOTAL
52110 . 82
MAY 22 2014 c ' /
cn�
SECRETARY OF REVENUE DATE p
7
(OR AUTHORIZED DELEGATE) PART 1 — TO BE RETAINED BY RECORDING OFFICE 3011/7