HomeMy WebLinkAbout01-5555UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET #
DATE ENTERED
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S. § 788.1,
this is a Certified Copy of Lien for
unpaid unemployment compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-18877 8
COM MONWEALTN/OF-P E N NSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
·
TOBY L COY
DON COY'S GARAGE
SOUTH EARL ST EXT]3
SHIPPENSBURG
PA
AD Number: 291584
CONTRIBUTION INTERESTOUEONUNPAID PENALTYOUE-
CONTRIBUTION AND ! OR LATE REPORT/
QTR/YR. DUE PAID/CREDIT BA~NCE CONTRIBUT~ONPAIDLATE' DISHONOREDCHECK
1-99 WE .00 .00 .00 .00
1-99 687.44 .00 687.44 133.48 68.74
2-99 WE .00 .00 .00 .00
2-99 687.44 .00 687.44 121.45 68.74
3-99 WE .00 .00 .00 .00
3-99 496.94 .00 496.94 79.10 49.69
4-99 WE .00 .00 .00 .00
4-99~ 331.30 .00 331.30 46.66 33.13
1-00 WE .00 .00 .00 .00
1-00 687.44 .00 687.44 83.07 68.74
2-00 WE .00 .00 .00 .00
2-00 687.44 .00 687.44 69.32 68.74
sub-total 3~578.00 533.08 357.78
9.00
Additione. I interest is tO be computed on the above balanoe of unpe. id unemployment F!l!~{] ~($)
compensation contributions at the rets determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S, § 806, per month, or fre~ion of a Additional interest
month, ,rom 0 9 / 3 0 / 2 o o i
R, SCOT MIEDRICH DATE
TO BE RETAINED BY RECORDING OFFICE
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