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IN THE COURT OF COMMON PLEAS OF
R ND COUNTY, PENNSYLVANIA
CUMBE LA
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
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.
vs.
.
TIMOTHY J WILBUR
INDIVIDUALLY & T/A
TIM WILBUR MECHANICAL CONTRACTING
507 N YORK STREET
MECHANICSBURG PA 17055
.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-20597 4
AD Number:
289566
QTRlYR.
DUE
CONTRIBUTiON
PAID/CREDIT.
INTEREST DUE ON UNPAID
CONTRI6UTION AND I OR
BALANCE CONTRIBUTlON PAID LATE.
PENAL TV DUE
LATE REPORTI
DISHONORED CHECK
2-00 WE
2-00
.00
1,946.24
, .00
.00
.00
1,946.24 137.86
.00
194.62
sub-total
Additional interest is to be computed on the above balance of unpaid unemployment
oompensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P,S, 6 806, per month, or fraction of a
month,from 05/31/2001 .
1 946.24 137.86 194.62
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Additional Interest
The undersigned, Director, Bureau of Employer Tax Operations, Department of Labor and Industry, certifies tha1lhe above unemployment compensa1lon 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 properly, both real and personal, Including after acquired properly, of the above named defendant and
attach thereto from the date of entry of this Certified Copy of Lien.
R Jut1f1~
R. SCOT MIEDRICH
05/01/2001
DATE
f1ln;~'~. ,k
Assistant Director. Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING OFFICE
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