HomeMy WebLinkAbout03-2044UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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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: 21-21 721 2
299744
AD Number:
QTR/YR. ------------
1-02 WE
1-02
2-02
2-02
3-02
3-02
4-02
4-02
DUE
2,772
-00
.32
WE .00
1,392.55
WE .00
502.49
WE -00
579.04
CONTRIBUTION
PAID/CREDIT
.00
2,772.32
.00
.00
.00
502.49
.00
.00
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 04/30/2003
DOCKET # O3-
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
SUMMIT STAFFING
3920 MARKET
CAMP HILL PA
.00
.00
.00
1,392.55
.00
.00
.00
579.04
SOLUTIONS INC
S T C> c=: ~ D
17011
NTEREST DUE ON UNPAID ~
CONTRIBUTIONAND / OR LATE REPORT/
CONTRIBUTIONPAID LATE.DISHONORED CHECK
55.45
58.O2
7.12
7.24
.00
250.00
.00
139.26
.00
50.25
.00
.00
BY RECORDING OFFICE
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. § 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 thereto from the date of entry of this Certified Copy of Lien.
R. SCOT MIEDRICH
Assistant Director, Bureau of Employer Tax Operations 0 4 / 1 4 / 2 0 0 3
TO BE RETAINED DATE --
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Filing Fee(s) 14. o 0
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