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UC, 728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET #
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DATE ENTERED
CERTIFIED COPY OF LIEN
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S,!i 788.1,
this is a Certified Copy of Lien for
unpaid unemplovment compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
vs.
.
AD Number'
284814
RALPH C CRONE
INDIVIDUALLY & T/A
C & S CUSTOM BUILDERS
1311 OLD WILLOW MILL ROAD
MECHANICSBURG PA 1~55C)
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PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19610 &
QTRlYR.
DUE
CONTRIBUTION
PAID/CREDIT
BALANCE
INTERES!~_E ONtl7WAID , PENALTY DUE'-
CONTRJ~':J_~I~~ ANlr'1 OR ....... LATE REPORTI
CONTRIBUTION PAID LATE. DISHONORED CHECK
3-99 WE
3-99
.00
1,605.21
.00
.00
.00
1,605.21
61.53
.00
160.52
,
I sub-total
1 605.21 61.53
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Addnlonallnterest
160.52
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Additional interest is to be computed on the above balanCe of unpaid unemployment
compensation contributions at the rate deterrnined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S. 6806, per month, or fraction of a
month, from 04/30/2000 .
The undersigned, Director, Bureau 9f EmployerTa)( Operations, Departme;nt of Labor and Industry, certifies that the above unemployment compensation contributions, Interest and penalties
are due and payable by the above named defendant under the pr,ovls,lons of the Pennsylvania Unemployment Compensation Law, Pursuan110 Section 308,1 of said Law, 43 P.S, ~ 788.1,
the above contributions, Interest and penalties are a lien upon 1h.e franctil~es and property, both real and personal, Including after acquired property, of the above named defendant and
attach thereto from the date of entry of this Cert!fled Copy of Lien, ,
R JultP1~
R. SCOT MIEDRICH
04/25/2000
DATE
ASSistant Dlrector, Bureau of EmployerTeJ< Operations
TO BE RETAINED BY RECORDING OFFICE
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