HomeMy WebLinkAbout01-5557UC-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: 21-19665 7
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
e
vs.
MELRETTA SIMPSON
INDIVIDUALLY & T/A
MELRETTA' S COMMERCIAL
914 SPRING CIRCLE
MECHANICSBURG PA 17055c_
AD Number: 291636
CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
QTP,/YR, DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DISHONORED CHECK
3-00 WE .00 .00 .00 .00
3-00 3,438.95 .00 3,438.95 277.98 250.00
4-00 WE .00 .00 .00 .00
4-00 2,359.32 .00 2, 359.32 141.56 235.93
5~798.27 419.54 485.93
sub-total
Additional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) 9.0 0
compensation contributions at the rate determined by the Seoretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional Interest
month, from 09/30/2001
The undersigned, Director, Bureau of Bmployer Tax Operatlorl$, De~&rtme~t of Labor and Indus~ cedillas that the above unemployment compensation contributions, intere~ and pe~J~Jes
09/07/2001
R, SCOT MIEDRICH DATE
TO BE RETAINED BY RECORDING OFFIC~
u.~
0
0