HomeMy WebLinkAbout03-3493UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKI~T
DATE ENTERED
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 re¢or'd by you End
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19859 5
AD Number: 300847
QTR/Y8. CONTRIBUTION
DUE PAID/CREDIT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
JACOB RI CHCREEK
C/O TINNES ALBRIGHT~C~CCOSJNTctyNG
P 0 BOX 912
LOYSVILLE PA 17047r~,
7
INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
BALANCE CONTRIBUTION PAID LATE. D~$HONOREB CHECK
2-02 WE .00 .00 .00 .00
2-02 569.66 62.72 506.94 30.07 .00
3-02 WE .00 .00 .00 .00
3-02 226.57 .00 226.57 8.87 25.00
sub-total
733.51 38.94 25.00
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 07/31/2003
Filing Fee(s) 14. o 0 .
Additional Interest
R. 8COT MIEDRICH
TO BE RETAINED
BY RECORDING OFFICE
07/01/2003
DATE
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0
LU I-' U.I