HomeMy WebLinkAbout01-05557UC-728 REV, 6.98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S. § 788.7,
this is a Certified Copy of Lien for
unpaid unemployment ccmpensatlon
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19665 7
AD Number: 291636
I OTR/YR.
~- G~
CO M M ON W EALTH N SYLVAN IA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
0
MELRETTA SIMPSON {"~ c,; f-.,
INDIVIDUALLY & T/A °- "~ ~r`~
MELRETTA' S COMMERCIAL ;V I(F _'..,.,
914 SPRING CIRCLE =y~- ~ t=
MECHANICSBURG PA 17055~?;i~ a": -_
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CONTRIBUTION AND / Ofl LATE REPORT/
CONTRIBUTION PAID LATE. ^ISHONOREO CHECK
3-00 WE .00 .00 .00 .00
3-00 3,438.95 .00 3,438.95 277.98 250.00
4-00 WE .00 .00 .00 .00
4-00 2,359.32 .00 2,359.32 141.56 235.93
sub-total
.271 419.
ddltlonal interest is to be computed on the above balance of unpaid unemploymeht Flling Fee(s) 9 • U O
3mpensatign contributions at the rate determined by the Secretary of Revenue .Attdatianat"LBgai Costs _ _
nder Section 606 of the Fiscal Code, 72 P.S. 4 806, per month, or fraction of a AddltiOnal InteC2St
ionth, from 09/30/2001 ~~
$atlS~€~G~~Dri AmDwnt .. _ ,
The undersigned, Director, Bureau of Employer Tex Operations, Depatlment of Lahor and Industry, certifies that the above unemployment compensation contrlbutlons, Interest and penalties
are due end payable by the above named defendant under the provisions of the Pennsylvania Unemployment Oompensation Law. Pursuant to Section 308.1 of sold Lew, 43 P.S. g 933.1,
the above contrlbutlons, interest and penalties are a Ilan upon the franchl'sas and property, both real and personal, including attar acquired property, of iha above named defendant and
attach thereto from the date of entry of this Certified Copy of Lien.
R. SCOTMIEDRICH 09 07 2001
DATE
Assistant OireIXOr, Bureau of Employer Tar Operations
TO BE RETAINED BY RECORDING-OFFICE
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