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U0728 REV, e,98
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET #
DATE ENTERED
CERTIFIED COPY OF LIEN
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATIOrgUN~
g _ -n
1!: :J: ';:1
. vs. iW, ~ i1o;;:
CHARLES D KIGER, J.iI' I :;;';'.9
INDIVIDUALLY & T/ ,.~ \D SO
SALON AMBIANCE ~CJ ",. ::;::=1=\
160 BOBBY JONES D~~ :: ~,~
ETTERS PA 17319 >c -;: ~
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.
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 unempioyment compensation
contributions, inter.est and penalties to
be entered of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19083 7
AD Number:
288417
CONTRIBUTION INTEREST DUE ON UNPAID PENAL TV DUE -
QTRlYR DUE PAID/CREDIT CONTRIBUTION AND / OR LATE REPORT/
BALANCE CONTRIBUTION PAID LATE. DISHONORED CHECK
1-99 WE .00 .00 .00 .00
1-99 95.21 .00 95.21 12.77 25.00
2-99 WE .00 .00 .00 .00
2-99 159.73 .00 159.73 18.64 25.00
3-99 WE .00 .00 .00 .00
3-99 159.73 .00 159.73 15.84 25.00
4-99 WE .00 .00 .00 .00
4-99 11.28 .00 11.28 .91 .00
I sub-total 425.95 48.16 75.00
IIII:Iltmm:ll!!@PW+
5PQ~~~i~.~;~~:9:66
Additional Interest
:~~!~!it!qri$i!l~tiIII .;.;.;.;............................................,.....
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 80e of the Fiscal Code, 72 P,S. 6 80e, per month, or fraction of a
month,from 01/31/2001 .
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 Sectlon 308,1 of said Law, 43 P.B. fi 788.1,
the above contrlbutlons, 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 thereto from the date of entry of this CertIfied Copy of Lien.
RJutP1~
01/26/2001
DATE
R SCOT MIEDRICH
Assistant DIrector, Bureau of Employer Tax opeTCOIOlonsB ERE T A I NED I
. BY RECORDING OFFICE
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