HomeMy WebLinkAbout07-6956UC-728 REV. 1-06
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA f
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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: 3 2 8 3 7 5
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DATE EN~~i~D
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
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vs.
WILLIE DELANCEY, INDIVIDUALLY &
T/A WHITE ROOF SIDING
1350 CENTERVILLE ROAD
NEWVILLE PA 17241
•
CONTRIBUTION INTEREST DUE ON UNPAID
CONTRIBUTION AND / OR PENALTY DUE
(see reverse for
OTR/YR, DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. explanation)
1-05 WE 12.10 .00 12.10 .00
1-05 397.52 .00 397.52 81.24 40.9
3-05 WE 1.39 .OD 1.39 .0
3-05 57.89 .00 57.89 10.27 25.0
NE" refers to withholding for employee contributions. SUb-total
468.90 91.51 65.96
Additional interest is to be computed on the above balance of unpaid unemployment '' '- ;g~~ ;,3~'. ..' ' ''
Thai
compensation contributions at the rate of one-twelfth (1112) of the annual rate .
'
Filin Fees 19 . o 0
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determined by the Secretary of Revenue under Section 806 of the Fiscal Code, 72
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one
three quarters o
P.S. § 806, per month or fraction of a month, or at the rate o
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 10 j 31 j 2 0 0 7 . .
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Ths undersigned, Assistant Director, Offlee of Unemployment Compsnsatlon Tax Services, Department of Labor and Industry, certRlea that the above unemployment compeneatlon
contributions, Interest and penalties are due and payable by the above named defendant under the provisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section
308.1 of said Law, 43 P.S. § 788.1, the above contrlbutlona, Interest and psnaRiea are a lien upon the franchlsss and property, both real and personal, Including after acquired property, of
the above named defendant and attach thereto from the date of entry of this Certified Copy of Llsn.
%~~~ /
SALLY L. PIATAK
1~/3. 2~~7
DATE
Assistant Director, Office of Unemployment Compsnsatlon Tax Services
TO BE RETAINED BY RECORDING OFFICE
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