HomeMy WebLinkAbout04-0189UC.728 REV. 9-03
IN THE COURT OF COMMON PLEAS OF
C~3MB~.RnAND COUNTY, PENNSYLVANIA
·
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: 21-21557 0
AD Number: 30z~248
DOCKET# 0 ~/- 1~'~ ~,x~4~-
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
HAIT & PUHALA PC
STE 101
17 E HIGH ST
CARLISLE PA 17013
QTR/YR. CONTRIBUTION
DUE PAID/CREDIT BALANCE
INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
CONTRIBUTION pAID LATE.
1-03 WE 7.57 7.57 .00 .00
1-03 1,796.25 759.95 1,036.30 34.54 .00
2-03 WE 9.02 9.02 .00 .00
2-03 230.36 97.46 132.90 2.77 .00
sub-total
1,169.20 37.31 .00
Additional intereBt is to be computed on the above balance of unpaid unemployment
Bompensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P,S, § 806, per month, or traction of a
month, from 12/31/2003
Additional Interest
14.00
SALLY L. FUHRER
Assistant Director, Bureau of Employer Te.x Operations
TO BE RETAINED
BY RECORDING OFFICE
12/16/2003
DATE
Z
Z
_~o
~o
~E~
~E~
~o~
~ <~ o
>z ~ z~
ZO
Am
~0
00~
o ~ ~ o~m ~ 3 ~z
IN THE COURT OF COMMON PLEAS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
to the use of the
UNEMPLOYMENT COMPENSATION FUND
VS,
HAIT & PUHALA PC
STE 101
17 E HIGH ST
CARLISLE PA 17013
DOCKET NUMBER
04 189 CIV
AUTHORITY TO REMOVE LIEN
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, MARCH 23, 2004 , the Commonwealth of Pennsylvania,
Department of Labor and Industry, to the use of the Unemployment Compensation Fund,
Plaintiff in above action, through its Chief Counsel, by its Assistant Counsel, desires that the
above captioned lien be removed from record.
AND you, the Prothonotary of said Court, are hereby authorized and empowered, in
the name and stead of the Plaintiff, to remove said lien from the record as fully and
effectually, to all intents and purposes, as we could were we present in person to do so: and
for so doing, this shall be your sufficient warrant of authority.
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the Department of
Labor and Industry, Commonwealth of Pennsylvania, this 23 RD day of MARCH , 2004.
ACCOUNT NO. 21-21557
AD NO. 304248
Deputy Chief Counsel For Employment Security