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BUREAU OF COMPLIANCE DEPARTMENT OF REVENUE
PO BOX 280948 REVK-159(12-12)REV0001<9 DOCEXEC
HARRISBURG PA 17128-0948 L.It
P1 No TA�,' CERTIFIED COPY OF LIEN 3q U
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01 COURT OF COMMON PLEAS OF
PUP18ERL;1ND COUNTY CUMBERLAND COUNTY,
PENNS YL IVA NIA PENNSYLVANIA
ZEIDERS, THEODORE W EIN:................................................45-5228774/000
30 N MARKET ST Notice Date:....................................May 20,2014
Notice Number:...............................793-343-714-051-5
MECHANICSBURG PA 17055-3337
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
SALES 83264591 11-01-12 11-30-12 0.00 40.77
SALES 83264591 09-01-12 09-30-12 66.81 301.33
SALES 83264591 02-01-13 02-28-13 0,00 63.38
SALES 83264591 10-01-12 10-31-12 11,418.06 1,888.49
SALES 83264591 06-01-13 06-30-13 1,056.18 1,332.62
TOTAL: 2,541.05 3,626.59
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 3,658.09
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
§eCPAtARY OF REVENUE DATE
(OR AUTHORIZED DELEGATE) PART I -TO BE RETAINED BY RECORDING OFFICE OLV"i 1�.al d
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