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05-4585
PA DEPARTHENT OF REVENUE BUREAU OF COHPLIANCE LIEN SECTION PO BOX 280948 HARRISBURG, PA 1712B-0948 Ii. hI( :';/1 U1J cJL /'ll-3'1 62u-' / (, i J. f!I '* REV-159 tM 'FP [07-G51 fU' 0$ - if.rt S ~'u.:;f I;:" e '" c::.~} C::~J C", C.I") ,-._-, ~:-' -' o .-n ~:n -,,"!S -, AUG 17 2005 I...D COURT OF COMMON PLEAS OF CUMBERLAND I.D COUNTY, PENNSYLVANIA :.0 ---< NAME AND ADDRESS: DONALD M BOSSERMAN TERONNA A BOSSERMAN 4 NITTANY DRIVE MECHANICSBURG PA 17055 TO THE PROTHONOTARY OF SAID COURT: CERTIFIED COPY OF LIEN l'ursuanttothllillsoftheCD..onlllBlthofhnnwlvanll1. thin is hlflMlth tr~n5I1tt.d a CerUflld Cop~ of a Lhn to be .ntBnd \If r8tllrd 1n ~Gur Count~. 182-54-6545 Oil TE OF CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING TAX TOTAL TAX (OR DUE DATE) DETERMINATION NUMBER OR SETTLEMENT 1 2 , , . . P.LL 01-01-98 TO OCT 26 2001 S85334 792.00 1,310.22 12-31-98 TOTALS INTEREST COMPUTATION DATE SEP 05 2005 $792,00 $1 310,22 FILING FEE(S) ~16. nn ADDITIONAL INTEREST The undersigned, the SlerBtBry of RevenuI (or his iluthorlz,d delegate) of thl CommonwllIlth of Pennsylvania, certifies this to b. B truI and correct COpy of a lIen a9alnst the above- nemed ta~payer for unpaId tax. Intarest. additions or penalties thareon dua from such tax- SETTLEMENT TOTAL payar and which, aftar damand for paymant: tharaof. remains unpaid. The amount of such un- paid tax. interest. additions or panalties is a lien in favor of tha Commonwaalth of Pennsylvania upon the ta~PBY 's property. real. parsonal. or both. as tha case may ba. ~ AUG 3 1 Z005 DATE PART 1 - TO BE RETAINED BY RECORDING OFFICE o. .. o 0 ~~~ .. ~~! ;;~ < . . o ~~~ ~ .. ~ ~ ~; . 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