HomeMy WebLinkAbout05-5510BUREAU OF COMPLIANCE
PO BOX 280946
HARRISBURG- PA 1 7 12 8-0946
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COURT OF COMMON PLEAS OF CUMBERLAND
90579561
NAME AND ADDRESS:
REV-159 CM AFT (6/96)
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COUNTY, PENNSYLVANIA
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JOHN M BRINJAC
IND AND AS SECRETARY OF
BK ENGINEERS & CONSTRUCTORS INC
67 SOUTH TERRACE ROAD
WORMLEYSBURG PA 17043
TO THE PROTHONOTARY OF SAID COURT:
PURSUANT TO THE LAWS OF THE CONDBONWEALTH OF PENNSYLVANIA
THERE ISHEREWITH TRANSMITTED A CERTIFIED COPY OF LIEN CERTIFIED COPY OF LIEN
D
TO BE ENTERED OF RECORD IN YOUR COUNTY.
OCT 18 2005
SECRE RY OF REVENUE DATE
(OR AUTHORIZED DELEGATE)
PART 1 -TO BE RETAINED BY RECORDING OFFICE
DATE OF
CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING 'FAX TOTAL
TAX (OR DUE DATE) DETERMINATION NUMBER
OR SETTLEMENT
EMPL 7-1-04 to 9-30-04 6-24-05 CO-66666 $0.00 $1,213.59
TOTALS $ 0.00 $1,213.59
FILING FEE (S) $14.00
INTEREST COMPUTATION DATE 12-30-05
The undersigned the Secretary of revenue (or his awhodeed delegate) of the Commonwealth ADDITIONAL INTEREST
of Pennsylvania, cornf es this in be tore and correct copy oft lien against the above named
taxpayer for unpaid tax, interest, additions or penalties thereon due from such taxpayer and
which, after demand for payment thereof, remains unpaid. The amount ofsuch unpaid tax,
InmresL add XINT orpens sisa lienm favor of thecommonwealth of Pennsylvania upon SETTLEMENT TOTAL
th pa s property a , p e r nal, or bot s the a av be.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COMMIMICE
DEK. 280946
HARRISBURG URG PA 17128-0946 AUTHORITY TO SATISFY
REV-300 CM AFP (S%)
ARP 59298
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
V
COURT OF COMMON PLEAS OF
JOHN M BRINJAC
IND AND AS SECRETARY OF
BK ENGINEERS & CONSTRUCTORS INC
67 SOUTH TERRACE ROAD
WORMLEYSBURG PA 17043
CUMBERLAND COUNTY,
PENNSYLVANIA.
Docket Number
Date Filed
Class of Tax
05-5510 CIVIL TERM
10/21/2005
EMPL
Account Number 90579561
Assessment Number C066666
TO THE PROTHONOTARY OF SAID COURT:
The Commonwealth of Pennsylvania, Department of Revenue, the Plaintiff in the above action,
acknowledges having received of the Defendant above named, full payment and satisfaction of the above
captioned Lien/Judgement Note, with the interest and costs thereon due it; and desires that satisfaction be
entered upon the records thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your costs of satisfaction are hereby
authorized and empowered, in the name and stead of the Plantiff, to enter full satisfaction upon the record as
fully and effectually, to all intents and purposes, as we could were we present in person to do so; and for so
doing, this shall be your sufficient warrant of authority.
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the Department of Revenue, Commonwealth
of Pennsylvania, this 13TH day of MARCH 2008.
THOMAS WOLF
Secretary of Revenue
MARY HUBLER
Director, Bureau of Compliance
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