HomeMy WebLinkAbout02-6119UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
CUMBERLAND
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: 21-19512 &
DOCKET #
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
DANIEL SPRAGUE INDIVIDUALLY AND
T/A THE BOLI FACTORY
261 DEERFIELD ROAD
CAMP HILL, PA 17011
AD Number: 298382
INIEREST DUE ON UNPAID PP_'NALTY DUE
CONTRIBUTION ~ CONTRIBUTION AND / OR LATE REPORT/
QTR/YR. DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DISHONORED CHEC
1-99 WE .00 .00 .00 .0(
1-99 403.80 313.56 90.24 26.15 .0(
(~ -<
I sub-total 9o. 24 26. ~5 .0
.. :.: .:.:.:.:: :.::.: :~: ~: :.~: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Additional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s)
compensation contributions at the rate determined by the Secretary' of Revenue ~!~ ~i::~:!ii?: :: :!:!i?:i:!i!ii?: ::'~?ii :i::! :. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional Interest
month, from 12/31/2002 ....
The undersigned, Director, Bureau of Employer Tax Operations, Department of Labor ~nd Industry, certifies that the above unemployment compenaatlon contributions, interest and penalties
are due and payable by the above named defendant under the provisions of the pennsylvania Unemployment Cornpense. tton Law. P~rauent to Section 308.1 of said Law, 43 P.8. § 788.1,
the above contributions, interest and penalties are a lien upon the franchises and property, both real and personal, Including after acquired properly, of the above named defenH&nt and
attach thereto from the date of entry of this Cettlfied Copy of Lien.
R. SCOT MIEDRICH
Assistar~t Director, Buresu of Employer Tax Operations
TO BE
RETAINED
BY RECORDING OFFICE
12/13/2002
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