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BUREAU OF ospxnrmswrnpnsyswus
PC BOX 280948 Rsvx-159<12-12)nevOOox ooucxsu ----
HARRISBURG m`ne*owv
FILED__ . CERTIFIED ERl0FUED COPY OF LIEN
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OF THF p�� NDTAR� �
28/4 JUL -8 AN 9/ 4" COURT CFCOMMON PLEAS OF
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CUMBERLAND COUNTY,OUNTY
'pU4A -- PENNSYLVANIA
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5I40 ERB8 BRIDGE RD
Notice Date:.................................... 14
mouoomumboc............................... 8u'6su�14-O51's
MECH��NIC�BUR� PA l�OGO-24��
To
dm Pursuant m 8e laws of 8m
Commonwealth of ponnoyxmnm.1hono is herewith transmitted ooertiUod
copy o(alien mboentered ofrecord inyour county.
TAX TYPE ACCOUNT ID TAX TAX TAX TOTAL
PERIOD PERIOD
BEGIN END
EMPL 90964159 04-01-05 06-30-05 422.40 927.60
EMPL 90964159 04-01-12 06-30-12 387.11 701.04
EMPL 90964159 07-01-12 09-30-12 376.74 679.41
EMPL 90964159 10-01-12 12-31-12 307.19 551.67
EMPL 90964159 01-01-13 03-31-13 21.28 38.06
EMPL 90964159 04-01-13 06-30-13 42.56 75.80
EMPL 90964159 07-01-13 09-30-13 69.16 115.73
TOTAL: 1,626.44 3,089.31
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 3,120.81
INTEREST CALCULATION DATE: 08-13-14
The undersigned,the Secretary f Revenue or authorizedd | ate of the Commonwealth of Pennsylvania, certifies this to be a true and correct co
malien against the above-named taxpayer for unpaid tax, interest, additions or penalties therein due from such taxpayer and which,after demand for
payment thomof, remains unpaid. The amount of such unpaid tax imonem, additions o, pono|doo is u lien in favor of the Commonwealth of
Pennsylvania upon the taxpayer's property'real,personal o,both oothe case may be.
May uo.nu1*
!�'K��/an, urREVENUE DATE
(OR auTHOn|ZsDDELEGATE)
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