HomeMy WebLinkAbout08-0440UC-728 REV. 1-06
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA r
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DATE ENTERED co I - ~ g' a ob ~
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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: 329969
P
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
•
HEALTHCORE OF MARYLAND LLC
47 W POMFRET ST
CARLISLE PA 17013
•
CONTRIBUTION INTEREST OUE ON UNPAID
CONTRIBUTION AND / OR PENALTY OUE
Isae ravars® for
OTR/YR. DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. explanationf
4-05 WE 128.56 .00 128.56 .0
4-05 911.43 .00 911.43 179.40 104.0
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NE" refers to withholding for employee contributions. SUb-total ._T ~.W ~
1 039.99 179.40 104.00
Additional interest is to be computed on the above balance of unpaid unemployment 1 r ~ 2 3 ~ 9
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compensation contributions at the rate of one-twelfth (1/12) of the annual rate Filing Fee(s) 19.0 0
determined by the Secretary of Revenue under Section 806 of the Fscai Code, 72
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one
three quarters o
P,S. !;r 806, per month or fraction of a month, or at the rate o .
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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 12 / 31 / 2 0 0 7 . ;:: ~;~t;~jp~ ~{~~ir
Ths undsroignsd, Assistant Director, Oflies of Unemployment Compensation Tsx Services, Department of Labar end Industry, certifies that the above unemployment compensation
conlrlbutiona, Intorest and panaltlas ere due and payable by the above named defendant under the provisions of the Psnnaylvanla Unemployment Compsnsatlon Lsw. Pursusnt to Ssdlon
308.1 of said Law, 43 P.S. § 788. t, the above eorttrlbutlona, Interest end psnaklsa are a Ilan upon the hanehlsss and property, both real and personal, including attsr acqulrsd property, of
the above named defendant and attach thereto from the date of entry of this Csrtifled Copy of Llen.
~~~~ /e~~
SALLY L. PIATAK
12/27/2007
DATE
Asalatant Director, Cffics of Unemployment Compsnsatlon Tax $ervicse
TO BE RETAINED BY RECORDING OFFICE
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