HomeMy WebLinkAbout03-6675U0-728 REV, g-03
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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DATE ENTERED
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compeneation Law, 43 P.S. § 788.1,
this is a Certified Copy of Lien for
unpaid unemployment compeneation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-1@114 5
AD Number: 304204
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
MICHAEL SMETANA & DOUGLAS KANN
INDIVIDUALLY & AS PARTNERS
T/A SMETANA AND KANN ELECTRIC
390 ALEXANDER SPRING ROAD
CARLISLE PA 17013
CONTRIBUTION tNTERESTDUEONUNpAIO PENALTYDU~-
CONTRIBUTION AND / OR LATE REPORT/
QTR/YR, DUE PAID/CREDIT SA~NCE CONTRIBUTIONPA~DLATE, OISHONOREDCHECK
1-02 WE .00 .00 .00 .00
1-02 479.14 250.00 229.14 42.08 47.91
2-02 WE .00 .00 .00 .00
2-02 912.29 .00 912.29 68.41 91.22
3-02 WE .00 .00 .00 .00
3-02 12.64 .00 12.64 .76 25.00
sub-total
1,154.07 111.25 164.13
Additional Interest is to be computed on the above beJance of unpaid unemployment
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S, § 806, per month, or fraction of a
month, from 12/31/2003
Filing Fee(s)
Additional Interest
14.00
SALLY L, FUHRER
ASsistant Director, Bureau of Employer Tax Oper&tlorls
TO BE RETAINED BY
RECORDING OFFICE
12/12/2003
DATE
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