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UC-728 REV. 6-98
(j; 1: 06 Pi)
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
R#:q Q'6Q 11
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FlLED-.OrT:CE
DA UF Eil-l'1I"SRlDi'Oi';OTIRY
00 AUG 15 Ailll: 06
CERTIFIED COPY OF LIEN
CUMBlRLAND COUNTY
COMMONWEALTH OF PE~~
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 unemployment compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
vs.
.
ERNEST MASON BIGGS
INDIVIDUALLY & T/A
BIGGS BUILDING SPECIALTIES
104 MAPLE AVENUE
CAMP HILL PA 17011
.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-14947 0
AD Number:
285977
QTRiYR.
DUE
CONTRIBUTION
PAID/CREDIT
BALANCE
INTEREST DUE ON UNPAID PENAL TV DUE
CONTRIBUTION AND I OR LATE REPORT!
CONTRIBUTION PAlO LATE. DISHONORED CHECK
4-99 WE
4-99
1-00 WE
1-00
,00
448.08
,00
701,30
.00
.00
,00
,00
,00
448,08
,00
701.30
17.92
,00
44,81
,00
,00
14.03
sub-total
Additional interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S.,~ 806, per month, or fraction of a
month, from 07/31/2000 ,
The undersigned, Director, Bureau of Employer Tax Operetlons, Department of Labor and Industry, certifies that the above unemploym!ilnt compensation contributl_ons, Interest and penalties
are due and payable I:>y the above named defendant undtH the provisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section 308.1 of saJd Law, 43 P.S. ~ 788.1,
the above contributions, Interest and penalties are a lien upon the franchises and property, both real and personal, including after acquired property, of the above named defendant and
attach 1'nere\o from 1M date of emry of thIs CertIfIed Copy 01 LIen.
RJutPJ~
R, SCOT MIEDRiCH
07/27/2000
DATE
Assistant Director, Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING OFFICE
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