HomeMy WebLinkAbout04-0190UC-728 REV, 9-03
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND 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: 2:].-21663 1
AD Number: 304256
QTR/YR. DUE
1-01 WE .00
1-01 683.61
CONTRIBUTION
PAID/CREDIT
.00
.00
DOCKET# ~) Y- JgO ~7~-
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
SCOTT M GOTTHARD
15 S BALTIMORE AVE
MT HOLL? SPRINGS
BALANCE
.00
683.61
INTEREST DUE ON UNPAID
CONTRIBUTION AND / OR
CONTRIBUTION PAID LATE.
116.21
PENALTY DUE
LATE REPORT/
DISHONORED CHECK
.00
.00
sub-total
683 · 61 116.21 · 00
Additional interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fisoal Code, 72 P,S, § 806, per month, or fraction of a
month,from 12/31/2003
Additional Interest
14.00
SALLY L. FUHRER
Assistan~ Director, Sur®au of Employer Tax Operations
TO BE RETAINED BY
RECORDING OFFICE
12/16/2003
[~ATE
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA Docket Number 04 190 CIV
DEPARTMENT OF LABOR & INDUSTRY I
to the use of the '
UNEMPLOYMENT COMPENSATION FUND
1
VS. ,
SCOTT M GOTTHARD '
15 S BALTIMORE AVE I
MT HOLLY SPRINGS PA 17065 r'nco
i %rIl
i Z
Cnr
C�
CZ
AUTHORITY TO SATISFY =
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, SEPTEMBER 8, 2009 the Commonwealth of Pennsylvania,
Department of Labor and Industry, to the use of the Unemployment Compensation Fund,
Plaintiff, in the above action, through its Chief Counsel, by its Deputy Chief Counsel for
Employment Security, acknowledges having received of the Defendant above named full
payment and satisfaction of the above captioned Lien, with the interest and costs thereon due
it; and desire that satisfaction be entered upon the records thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your costs, are
hereby authorized and empowered, in the name and stead of the Plaintiff, to enter full
satisfaction upon the record of said Lien 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 8 TH day of SEPTEMBER , 2009.
ACCOUNT NO. 21-21663
AD NO. 304256
SEAN F. CREEGA
Deputy Chief Counsel for Employment Security
l0.
s
IN THE COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR & INDUSTRY
to the use of the
UNEMPLOYMENT COMPENSATION FUND
-vs-
AUTHORITY TO SATISFY
BUR-862 REV 5/90