HomeMy WebLinkAbout02-6118UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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. t,
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.
DATE ENTERED
DOCKET # ~,2 ·
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OFLABORANDINDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER:
AD Number: 298368
QTR/YR.
------------- DUE
1-01
1-01
2-01 WE
2-01
3-01 WE
3 -01
21-18877 8
.00
253.03
.00
253.03
.00
156.54
CONTRIBUTION
____~PAID/CREDIT
VS.
TOBY L COy
INDIVIDUALLY & T/A
DON COY'S GARAGE
SOUTH EARL ST EXTD
SHIPPENSBURG PA 1725~
CONTRIBUTI~
CONTRIBUTION PAID LATE.
.00
.00 253.03 30.36
.00
.00
· 00 253.03 24.67
.00
.00
· 00 156.54 11.74
REPORT/
DISHONORED CHECK
.00
25.30
.00
25.30
.00
25.00
sub-total
%dditional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) 14.0 0
;ompensation contributions at the rate determined by the Secretary of Revenue
ruder Section 806 of the FiscaJ Code, 72 P,S. § 806, per month, or fraction of a
nonth, from 12/31/2002 Additional Interest
The undersigned, Director, Bureau of Employer Tax Operations, Department of Labor and Indust~, ce~lfle~ that the ~bove unemployment compensation contributions, Interest and pena~le~
are due and payab;e by the above named d~endant under the provisions of he Pennsylvania U~empioyment Compensation Law. Pursuant to Se~ion 308.1 ~ said Law, 43 P.S, { 788.
the above contributions interest and penalties are a en uDon the franchises add prope~, both real and personal, including after acquired prope~, ~ the above named defendant a~d
a~ach thereto from the date of ent~ of this Ce~ifled Copy ~ Lien.
R. SCOT MIEDRICH
Assi~ant DJre~or, ~ureau of Employer Tax Operations ~2
T O B E DATE
RETAINED
BY RECORDING OFFICE
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