HomeMy WebLinkAbout01-06554
UC-728 REV. 6.98
DOCKET #
DATE ENTERED
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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.
-JLO. b!- G Ssv ec?j -&'-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
Vs.
•
PAUL MATTUS AGENCY INC
3'810 MARKET ST
CAMP HILL PA 17011
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-18229 &
AD Number: 292532
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rx
OTR/YR. CONTRIBUTION
DUE - PAID/CREDIT BALANCE INTEREST DUE ON UNPAID
C NCONTRIBUTION TRIBUTION ACID LATE. PENALTY DUE -
DISHONORED CHECK
1-01 WE .00 .00 .00 .00
1-01 1,506.58 1,004.96 503.62 46.76 150.86
sub-total
Additional interest is to be computed on the above balance of unpaid unemployment I-Iling ree(s)
compensation contributions at the rate determined by the Secretary of Revenue kjtj 01131 Legal C0.
order Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Addltlonal Interest
Tronth, from 11/30/2001 'i Satlsfactton Amtiil:r
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 aloove 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 we alien 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
11/06/2001
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
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR & INDUSTRY
to the use of the
UNEMPLOYMENT COMPENSATION FUND
VS.
PAUL MATTUS AGENCY INC
3810 MARKET ST
CAMP HILL PA 17011
,
,
,
,
,
,
COUNTY, PENNSYLVANIA
Docket Number 01 6554 CIVIL
AUTHORITY TO SATISFY
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, AUGUST 23, 2007 the Commonwealth of Pennsylvania,
Department of Labor and Industry, to the use of the Unemployment Compensation Fund,
Plaintiff in the above action, through its Chief Counsel, by its Deputy Chief Counsel for
Employment Security, acknowledges having received of the Defendant above named full
payment and satisfaction of the above captioned Lien, with the interest and costs thereon due
it; and desire that satisfaction be entered upon the records thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your costs, are
hereby authorized and empowered, in the name and stead of the Plaintiff, to enter full
satisfaction upon the record of said Lien 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 23 RD day of AUGUST , 2007.
ACCOUNT NO. 21-18229 ?'-
AD NO. 292532 _
SEAN F. CRMA
Deputy Chief Counsel for Employment Security
CUMBERLAND
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