HomeMy WebLinkAbout03-5005IN THE COURT OF COMMON PLEAS OF DOCKET # 0~'- ~/.~.5/ ~ ~-~.~
CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. S S 874(a) and 788.1, this Js a
Certified Copy of I. ten for overpaid unemployment
compensation benefits and interest to be entered
of record by you and indexed as judgments are
indexed.
Social Security Account Number: 203-54-6173
Job Center #: 0996
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
NICOLE J. GORSLINE
212 LOUIS LANE
ENOLA, PA. 17025
07-05-97 $18t.00
07-19-97 $181.00
08-02-97 $181.00
AddtL'Jonal interest will accrue on the balance due of the
above overpaid unemployment compensation benefits
after 08-30-03 For the total amount due on this lien,
phone (717) 783-3140.
Minus Amount Repaid O
Plus interest 1229.64
Filths Fee $14.00
The undersigned, Assistant Director, Bureau of Unemployment Compensation Benefits and ALlowances, Department of Labor and industry of the
CommonweaLth of Pennsylvania, certifies that the above person is obtltlated, pursuant to 43 P.S. § 874(a) to repay the above overpaid unemployment
compensation benefits received by him/her together with interest thereon, char~ed per month or fraction of a month, be~innin8 fifteen (15) days after the
Notice of O~rpayment was issued and continuinll until the overpaid benefits are repaid. The interest rate is determined by the Secretary of Revenue as
provided by Saction 806 of the Fiscal Code. In accordance with 43 P.~. ~ ~ 874(a) and 788.1, the above overpaid unemployment compensation benefits and
interest are a Lien upon the franchises and property, both real and personaL, inc[udin~ after -acquired property, of the above person and attach thereto from
the date of entry of this Certified Copy of Lien.
~n~ Chief of ~J~ CLaims Se~ces Date
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