HomeMy WebLinkAbout03-6274UC-728 REV. 9-03
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
~O~L' ~,j/ · ,~. e~
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: 21-21122 2
AD Number: 303390
CONTRIBUTION
QTP,/YR.
DUE PAI~CREDIT
2-01 WE .00 .00
2-01 120.79 120.79
3-01 WE .00 .00
3-01 513.85 513.85
4-01 WE .00 -00
4-01 202.23 .00
1-02 WE .00 .00
1-02 86.52 .00
DOCKET#
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
THOMAS ALLEN WOTRING &
ATHENA LYNN WORTING, INDIVIDUALLY
& AS PARTNERS TRADING AS
V W SUPERIOR MAINTENANCE SYSTEMS
97 2ND ST
· WEST FAIRVIEW PA
BA~NCE CONTRIBUTI ID D NORED CHECK
202
86
00 .00
00 2.72 25.00
00 .00
00 17.98 28.96
00 .00
23 20.39 25.00
00 .00
52 7.43 25.00
sub-total
288.75 4.8.52 103.96
dditional interest is to be computed on the above balance of unpaid unemployment Fllirl~ Fee(s)
contributions at the rate determined by the Secretary of Revenue ~[~itJ~i ~i :C~
3mpensation
1der Section 806 of the Raoai Code, 72 P,S, {i 806, per month, or fraction of a Additional Interest
ionth, from 1173072003
SALLY L. FUHRER
Assistant Director, Bureau of Employer Tax Operatlon~
TO BE RETAINED
BY RECORDING OFFICE
11/13/2003
DATE
Z