HomeMy WebLinkAbout07-7518UC-728 REV. 1-06
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
G~- ~ ~ 8 ~~
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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 2 912 9
o
DOCK 4
n i~
DATE E ~ED
~ ~_
~~ ~ ~~Ca
~rn
COMMONWEALTH OF PENNSYL~A IIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
•
MARK MARTIN, INDIVIDUALLY & T/A
MARTINS BELLA CUSTOMS
55 ARMY HERITAGE DR
CARLISLE PA 17013
•
'
'
/R CONTRIBUTION INTEREST DUE ON UNPAID
CONTRIBUTION AND ! OR PENALTY OUE
I
f
Q
I
~
DUE
PAID/CREDIT
BALANCE
CONTRIBUTION PAID LATE. sae reverse
or
explanation)
1-07 WE 29.97 29.97 .00 .0
1-07 1,654.37 790.03 864.34 85.68 .0
VE" refers to withholding for employee contributions. SUb-total
864.34 85.68 .01
i t r t
Addit onal m e e t Is o co ed he o
s be m ut on t ab ve balance fun 'd ne
o a~ u m to ment
P P
P Y
:>
; ::.:::::.::::::.: :~~..:~.. ~2
:::..::..:::..:..::
compensation contributions at the rate of one-twelfth (1/12) of the annual rate ~ Filing Fee(S~ ~ _._...1.9....0.0......
determined by the Secretary of Revenue under Section 806 of the fiscal Code, 72 :....:.:..:....::::. :::.. .
.;..: ; ..:, .
P.S. ~ 806, per month or fraction cf a month, or at the rate of three quarters of one ,
.
d~l~'[+~~.~~: ~~ ` ``'
per centum (0.7596) per month or fraction of a month, whichever is greater, from the Additional IrrtereSt
date they become due until paid, from 12 / 31 / 2 0 0 7 . ~ ~' ' ~"'' "" ~ ` `~
The undersigned, Assistant Director, Office of Unemployment Compenantlon Tax Services, Department of Labor and Industry, cartlflea that the above unemployment compensation
contributions, interest and penalt(aa are due and payable by the above named defendant under the provialona of the Pennsylvania Unemployment Compensation Law, Pursuant to Section
308.1 of avid Law, 43 P.S. § 788.1, the above contrtbutiona, interest and psnaHies are a Ilan upon the franchises 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 Uen.
`~~/~
~ SALLY L. PIATAK 12 / 0 3/ 2 0 0 7
DATE
Assistant Dirsclor, Uffics of Unemployment Compensation Tax Services
TO BE RETAINED BY RECORDING OFFICE
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