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HomeMy WebLinkAbout06-0809 f<l, P1{ I /Lf,1f1) en.. ,) I Jet 6' '* REV-159 CMAFP(6/96) B{lREAU OF COMPLIANCE PO, Box 280948 HARRISBURG, PA 17128-0946 ~ /74:)01 (') ", C = (') (:~) -- C~ .., ""TJ r'1"j a:; I U) :;? N .c- J~- COURT OF COMMON PLEAS OF CUMBERLAND 2219-869 COUNTY, PENNSYLVANIA fl.c ,0(, - p<J <) ~ ~/~ NAME AND ADDRESS: KESSLER REHAB CENTERS INC 4716 OLD GETTYSBURG RD MECHANICSBURG, PA 17055 TO THE PROTHONOTARY OF SAID COURT: PURSUANT TO THE LAWS QFTHE COMMONWEAL1H OF PENNSYLVANlA THERE ISHEREWrTH TRANSMITTED ACERTJflED COPY OF LLEN CERTIFIED COPY OF LIEN TO BE ENTERED OF RECORD IN YOUR COUNTY DATE OF CLASS OF TAX PERIOD ASSESSMENT IDENTIFYING TAX TOTAL TAX (OR DUE DA TEl DETERMINATION NUMBER OR SETILEMENT CT 12/01, 8/03 $27,420.00 $27,420.00 TOTALS $27,420.00 $27,420.00 FILING FEE (8) INTEREST COMPUTATION DATF $14.00 The under~igned> the Se\:retary of revenue (or his authorized delegate) of the Commonwealth ADDITIONAL INTEREST ofPenn~yIYania,certif1eslll\stobelrue?nd\A)rrectcopy malien againsllhea'oovenamed taxpayerforunpaidtax,interest,additionsorpenaltiesthereonduefromsuchlaxpayerand which, after demand for paymenllhereof, remains unpaid. The amounl of such unpaid tax, [ntereSI, additions or pen~ies is a lien in favor of the comrnO\)w~\th of Pemnylvania upon SETTLEMENT TOTAL thetaxpayer'sproperty,,I'eaJ,person~prbot!J,asthecaselfiaybe., / / ~ $27,434.00 SECRETARY OUlliYENUE (OR AUTHORIZED DELEGATE) PART 1- TO BE RETAINED BY RECORDING OFFICE \- i:..d U 0 'L\)\)'o DATE ~ ~ ~ ., ~ ~ . . . , , . 0 ~ ~ ~ ;;::J, ;; .. ~"" ;i;::; ~ ~ ~ g .. ~ :; ~ - . ~ ~ :;, ~ ~ : ~ : ~ o . - . . , ~~~ ; ! !; < , ~ ~ ~ ; . , ^ . " 0 . " . . , . . o , . . : : . e ~ ~ ~ . . :: [ ~ . , . .. .. : ~ ! : ~ ; o , . " " ;3 ~ .. , , ~ ." g '" !" . g. ~ ,., ~ ~ III '" :,: ~ ::. ",.,.. , . " ,. ~ ~ !C; ~ ~ ~ ; ~ ~ ~ o , . . . . " . . , ~ ~ ~ ::r:~ ~ ~ : , . . . " , , z ~ ; E N = . - , . . ~ ......... -,... "''''0.... "''''..:> "''' :' ~ ~ ;" ;: ~ ...,,.,. ." =:;l ::l "'...00 n.. ." ~ : '" : ? .. "'::l , ',10 ~ "'''' : :;- ~ :' " ; ~ ~ .. " . g:: ~ ~ ........0.... . " :.. ...l< , y . .. A '" ;:l .... 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