HomeMy WebLinkAbout04-0192UC-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 ol 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].-2].532 4.
AD Number: 3o4.25?
QTR/YR. CONTRIBUTION
DUE PAID/CREDIT
1-03 WE 5.51 5.51
1-03 996. 92 .00
DOCKET# Og-
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
UNITED
PENNSYLVANIA
1902 MARKET STREET
CAMP HILL PA 17011
rS,
CEREBRAL PALSY OF
BALANCE
}NTEREST DUE ON UNPAIO
CONTRIBUTION AND / OR
CONTRIBUTION pAID LATE.
PENALTY DUE -
LATE REPORT/
DISHONORED CHECK
.00 .00
996.92 33.23 .00
sub-total
996.92 33.23 .00
Additional interest is to be computed on the above balance of unpaid unemployment Fllin e(s) 1 4.. 0 0
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiso&l Code, 72 P,S. § 806, per month, or fraction of a Additional Interest
month, from 1 2/3 1/200 3
SALLY L, FUHRER
A~slste. nt D[r®c~or, Buree. u of Employer Tax Operations
TO BE RETAINED BY
RECORDING OFFICE
12/16/2003
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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.
UNITED CEREBRAL PALSY OF
PENNSYLVANIA
1902 MARKET STREET
CAMP HILL PA 17011
DOCKET NUMBER 04 192 CIV
AUTHORITY TO REMOVE LIEN
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, JANUARY 27, 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 27 TH day of JANUAR~ , 2004.
ACCOUNT NO. 21-21832
AD NO. 304257
SEAN F. CREEGAqq
Deputy Chief Counsel For Employment Security