HomeMy WebLinkAbout03-1219UC-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: 2i-19228 7
AD Number:. 299169
DOCKET # ~3-/~ / 9' ~c~ "'~
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
BRYAN SWARTZ INDIVIDUALLY AND
T/A BBRYAN SWARTZ TRUCKING
8 BETTY NELSON CT C)
CARLISLE PA 17013
CONTRIBUTION iNTEREST DUE ON UNPAID PENALTY DUE
CONTRIBUTION AND ! OR LATE REPORT/
QTR/YR. DUE PAID/CREDIT BALANCE CONTRIB~JTION PArD LATE. DISHONORED CHECK
2-99 WE .00 .00 .00 .00
2-99 230. 72 .00. 230.72 62.68 25.00
3-99 WE .00 .00 .00 .00
3-99 261.49 .00 261 · 49 66.46 26.14
4-99 WE .00 .00 .00 .00
4-99 204.48 .00 204.48 48.22 25.00
sub-total
696.69 177.36 76.14
14 00
Additional interest is to be computed on the above balance of unpaid unemployment Filing..l~e.e(s.) ................................................ ; ...........................................................................
compensation contributions at the rate determined by the Secretary of Revenue ~.~.~i~!.i~i~i~i~ii~i~:~i~i~i~iiii~iiiiiiii!~iiii??~iii???ii?~ii!i?~?????!iiiii::~iiiiiiiiii!!i!~iiiii::iii!~
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional Interest
month,
from
The undersigned, Director, Bureau of Employer Tax Operations, Department of Labor and Industry, certifls~ that the above unemployment compensation contributions, Interest and penalties
are due and payable by the above named defendant under the provisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section 308.1 of said Law, 43 P.S. § 788.1,
the above contributions, Interest and penalties are · lien upon the franchises 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 Certified Copy of Lien.
R. SCOT MIEDRICH
Assistant Director, Bureau of Employer Tax Operations
TO BE
RETAINED BY RECORDING OFFICE
03~06~2003
DATE
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