HomeMy WebLinkAbout03-5555UC-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 lot
unpaid unemployment compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-18866 2
AD Number: 302849
QTR/YR,
2-00 WE
2-00
3-00 WE
3-00
DOCKET # 03
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
CHAROLETTE E MCCONNELL
INDIVIDUALLY & TRADING AS
CHARZ SALON
6483 CARLISLE PIKE C c~i ~
MECHANICSBURG PA 17D~5 rD
CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DISHONORED CHECK
.00 .00 .00 .00
276.08 50.00 226.08 59.29 27.61
.00 .00 .00 .00
236.64~ .00 236.64 48.51 25.00
sub-total
462.72 107.80 52.61
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 Fl$oal Code, 72 P,S. § 806, per month, or fraction of a
month, from 10/31/2003
F!!ing Fee(s)
Additional Interest
14.00
SALLY L. FUHRER
OLrector~ Bureau of Employer Tax Operations
TO BE RETAINED BY
RECORDING OFFICE
10/01/2003
DATE
Z
<o o
z~
:z
~0
00~ Zw
~ Z~
~o Zz~m O--Z
o ~ ~ o~ 3 ~z
Z
Z 0