HomeMy WebLinkAbout03-4795UC-728 REV, 8-03
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. § 788.1,
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.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-17232 4
AD Number: 301734
CONTRIBUTION
QTR/YR,
DUE PAID/CREDIT
1-01 WE · 00 · 00
1-01 319.84 · 00
2-01 WE .00 .00
2-01 232.32 .00
DOCKET # 03- '-/
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
FREDERICK R HENRY,
AND TRADING AS
BEST AUTO SALES
1445 HOLLY PIKE
CARLISLE PA 17013
INDIVIDUALLY
INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
BALANCE CONTRIBUTION PAIR LATE. DISHONORED CHECK
· 00 .00
319.84 49.04 31.98
.00 .00
232.32 30.39 25.00
sub-total 552,16 79.43 56.98
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 08/31/2003
Filing Fee(s)
Additional Interest
14.00
SALLY L. FUHRER
TO BE RETAINED
BY RECORDING OFFICE
08/27/2003
DATE
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