HomeMy WebLinkAbout03-6677UC-728 REV. 9-03
IN THE COURT OF COMMON PLEAS OF
Ct~MBERLAND COUNTY, PENNSYLVANIA
DOCKET # DJ-
DATE ENTERED
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: 21-18943 &
AD Number: 304049
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
e
vs.
GRANT ELECTRICAL CONTRACTING
CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE -
CONTRI~[JTION AND / OR LATE REPORT/
QTR/YR. DUE PAID/CREDIT BALANCE c°NTRIBUTION PAID LATE. D~$HONORED CHECK
1-03 WE 24.92 .00 24.92 .00
1-03 5,056.11 .00 5,056.11 169.34 250.00
2-03 WE 14.82 .00 14.82 .00
2-03 408.52 .00 408.52 8.82 42.33
Isub-total
5,504.37 178.16 292.33
Additional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) 14.0 0
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S. {i 806, per month, or frastion of s Additional Interest
month, from 12/31/2003
The undersigned, Assistant Dlrector~ Bureau of Employer Tax Operatlons~ Daballment of Labor and Indu~try~ cer[lflel that the above unemployment compensation contributions~ Interest and
penalties are due and payable by the above named defendant under the pro~slons of the Pennsylvania Unemployment Compensation Law, Pursuant to Section 308.1 of said Law, 49 P.S. §
788. f, the above co~ltrlbutlon s~ Interest and penalties are a lien uporl the franchise~ e.~d proper~y~ both re~r and personal, Including after acquired property, of the above ~amea dofen de.~t
and ~ach thereto from the date of entry of this Cer[Eled Copy of Lien.
SALLY L. FUHRER
Assistant Director~ Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING
OFFICE
12/10/2003
DATE
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