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UC-728 REV. 6-98
I> 9 (j(3 fJ)
CKH ~i;~~~RT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
R* {0'17()~
#CG- 7107 Ceoi 1
DOCKET #
DATE ENTE'AfEO-
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CERTIFIED COPY OF LIEN
CUM6E:':!~'i'Li-:j\0 :'"":('i! i\fTy
COMMONWEALTH OF PENNSYL~!ilt4~(LW\Nllt " .
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 78.8.1,
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.
ARK REMODELING INC
4525 VALLEY RD
ENOLA PA 17025
.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21- 2 0 5 96 6
AD Number:
286867
QTRlYR. CONTRIBUTION INTEREST DUE ON UNPAID PENAL TV DUE -
DUE PAID/CREDIT CONTRIBUTION AND I OR LATE REPORTI
BALANCE CONTRIBUTION PAID LATE. DISHONORED CHECK
2-00 WE .00 .00 .00 .00
2-00 1,397.56 .00 1,397.56 27.95 139.76
.
I su b-tota I 1 397.56 27.95 139.76
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I5~!'j~l~b~~[~1~~$).t........
Additional Interest
..,.................. ,..,.................;.:.;.:.;.;.;.;.;.;.,.;.;.,.;-,.;.;-;.;-,.;.;-;.;.;.;.;.:.:.:.:.;.:.:.:.:.:.:-:.;...,........
I~~t\~@'q~!qQ5!!l~!lut'n@r"""""
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. 6806, per month, or fraction of a
month, from 10/31/2000
The undersigned, Director, Bureau of Employer Tax Operations, Department 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 provisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section 308.1 of said Law, 43 P.S. g 788.1,
the above contributions, Interest and penalties are a lien upon the franchises and property, both rea.l and personal, including after acquired proPerty, of the above named defendant and
allach thereto from the date of entry of this Certified Copy of Uen.
RJutP1~
R. SCOT MIEDRICH
10/02/2000
DATE
Assistant Director, Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING OFFICE
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
to the use of the
UNEMPLOYMENT COMPENSATION FUND
DOCKET NUMBER 00 7407 CIV
vs.
ARK REMODELING INC
4525 VALLEY RD
. ENOLA PA 17025
AUTHORITY TO REMOVE LIEN
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, NOVEMBER 20, 2000 , the Commonwealth of Pennsylvania,
Department of Labor and Industry, to the use of the Unemployment Compensation Fund,
Plaintiff in above action, through its Chief Counsel, by its Assistant Counsel, desires that the
above captioned lien be removed from record.
AND you, the Prothonotary of said Court, are hereby authorized and empowered, in
the name and stead of the Plaintiff, to remove said lien from the record as fully and
effectually, to all intents and purposes, as we could were we present in person to do so: and
for so doing, this shall be your sufficient warrant of authority.
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the Department of
Labor and Industry, Commonwealth of Pennsylvania, this 20 TH day of NOVEMBER , 2000.
ACCOUNT NO. 21-20596
AD NO. 286867
J- ~ t3.,.jf"'~
SEAN F. CREEGA!
Deputy Chief Counsel For Employment Security
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