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BUREAU OF COMPLIANCE DEPARTMENT OF REVENUE
PC BOX 280948 REVK-159(12-12)REVOOOK9 DOCEXEC
HARRISBURG PA 17128-0948 0FILED-��'oi
Icz- CERTIFIED COPY OF LIEN
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20,14 JUL AH 9.- 4 7 COURT OF COMMON PLEAS OF
U111I3LAND CO
CUMBERLAND COUNTY,
CUNTY
PEENS.Vst,A.1, PENNSYLVANIA
CHON MOTEL ENTERPRISES 1146 EIN:................................................20-0130565/000
227 EWE RD Notice Date:....................................May 20,2014
MECHANICSBURG PA 17055-4875 Notice Number:...............................793-072-514-051-5
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 TAX TOTAL
PERIOD PERIOD
BEGIN END
SALES 82777535 11-01-13 11-30-13 4,408.89 5,287.81
TOTAL: 4,408.89 5,287.81
FILING FEE(S): 21.50
SATISFACTION FEE(S): 10.00
SETTLEMENT TOTAL: 5,319.31
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
gigbrARY OF REVENUE DATE
(OR UTHORIZED DELEGATE) PART 1 -TO BE RETAINED BY RECORDING OFFICE 19D-1-50
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