HomeMy WebLinkAbout07-4366UC-728 REV. 1-06
IN THE COURT OF COMMON PLEAS OF a_ _
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.
ACCOUNT NUMBER:
AD Number: 326260
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DATE ENT~RED~.;:~ -:''~
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
•
SCULPTURED IMAGES INC
204 S FRONT ST
WORMLEYSBURG PA 17043
•
CONTRIBUTION INTEREST DUE ON UNPAID
CONTRIBUTION AND / OR PENALTY DUE
Isee reverse for
OTR/YR. DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. explanation)
3-04 WE 40.50 .00 40.50 .0
3-04 698.88 .00 698.88 147.26 73.9
4-04 WE 40.50 .00 40.50 .00
4-04 582.40 .00 582.40 117.31 62.2
1-05 WE 40.50 .00 40.50 .00
1-05 1,090.08 .00 1,090.08 198.79 113.0
2-05 WE 40.50 .00 40.50 .0
2-05 484.48 .00 484.48 85.74 52.5
3-05 WE 40.50 .00 40.50 .0
3-05 242.24 .00 242.24 42.65 28.27
4-05 WE 40.50 .00 40.50 .0
4-05 121.12 .00 121.12 21.82 16.1
VE" refers to withholding for employee contributions. Sub-total
3 462.20 613.57 346.22
Additional interest is to be computed on the above balance of unpaid unemployment ", Total; 4,'421.>99
compensation contributions at the rate of one-twelfth (1/12) of the annual rate Flllrlg Fee(S) 1 9 . 0 0
determined by the Secretary of Revenue under Section 806 of the Fiscal Code, 72
P.S. 4 806, per month or fraction of a month, or at the rate of three quarters of one AdcfrtlOnal 1.B98i Gf95t6
per centum (0.75%) per month or fraction of a month, whichever is greater, from the Additional Interest
date they become due until paid, from 0 7 / 31 / 2 0 0 7 . S8t15#aCtlOTt.gCr1i3L1Clt
The undersigned, Assistant Director, Office of Unemployment Compensation Tax Servlces, Department of Labor and Industry, certifies that the above unemployment compensation
contrlbutlons, Interest and penalties are due and payable by the above named defendant under the provislona of the Psnnsytvanla Unemployment Compensation Law. Pursuant to Section
308.1 of said Law, 43 P.S. § 788.1, the above contributlone, Interest and psnnlties are a Ilan upon the frnnchisea and property, both real and personal, including after acqulrsd property, of
the above named defendant and attach thereto from the date of entry of this Certlfted Copy of Llen.
~~~~ /~
SALLY L. PIATAK
07/13/2007
DATE
Assistant Director, Office of Unemployment Compenaatlon Tax Servlces
TO BE RETAINED BY RECORDING OFFICE
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