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BUREAU OF COMPLIANCE DEPARTMENT OF REVENUE
PO BOX URG REVK-159(12-12)REVOOOK9 DOCEXEC '.'..a'
HARRISBURG PA 1 71 2 8-0946„_ �� ;�j�� °'"`�r�
CERTIFIED COPY OF LIEN y� ul It
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COURT OF COMMON PLEAS OF `�
1111BEp,LAND CoUn-ry CUMBERLAND COUNTY,
PENNSYLVANIA" PENNSYLVANIA
VAC INC EIN:................................................30-0252117/000
435 MARKET ST # A Notice Date:....................................May 20,2014
LEMOYNE PA 17043-1634 Notice Number:...............................792-862-114-051-5
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 84252648 11-01-13 11-30-13 1,424.15 1,779.27
TOTAL: 1,424.15 1,779.27
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 1,810.77
INTEREST CALCULATION DATE: 08-13-14
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.
May 20,2014
S UT
C ARY OF REVENUE DATE
(OR HORIZED DELEGATE)
Gai,so
PART 1 -TO BE RETAINED BY RECORDING OFFICE cok1P
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