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04-0361
IN THE COURT OF COMMON PLEAS OF DOCKET # O~/-~¢ CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED CERTIFIED COPY OF LIEN ~9~c~cTHE PROTHONOTARY OF SAID COURT: Pursuant to 43 P.S. § S 874(a) and 788.1, this is a Certified Copy of Lien for overpaid unemployment compensation benefits and interest to be entered of record by you and indexed as judsments are indexed. Social Security Account Number: 325-52-9766 Job Center #: 0996 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND VS. DARLENE M. SMITH 2126 WALNUT BOTTOM ROAD CARLISLE, PA. 17013 Claim Week Overpaid Claim Week Overpaid Ending Date Amount Ending Date Amount Claim Week Overpaid Claim Weak Overpaid Enclinj Date Amount Ending Date Amount 11-29-97 12-06-97 12-13-97 t 2-20-97 12-27-97 01-03-98 01-10-98 O1-17-98 01-24-98 01-31-98 09-07-98 02-14-98 02-21-98 ;330.00 ;330.00 ;330.00 ;330.00 ;330.00 ;330.00 ~330.OO ;330.00 ;330.00 $330.OO $330.00 S330.OO $330.0O 02-2g-ga $330.00 03-07-98 $330.OO 03-14-98 $330, OO Additional interest will accrue on the balance due of the above overpaid unemployment compensation benefits after 1Z-31-03 Forthetotalamountdueonthislien, phone (717) 783-3140. Total Overpaid Amount $5280.00 Minus Amount Repaid 0 Plus Interest $1848. O0 Total Due $7128.00 Flline Fee $1 4. O0 The undersigned, Assistant Director, Bureau of Unemptoyment Compensation Benefits and Ntowances, Department of Labor and Industry of the Commonwealth of Pennsylvania, certifies that the above person is obligated, pursuant to 43 P.S. $ 874(a) to repay the above overpaid unemployment compensation benefits received by him/her together with interest thereon, charged per month or fraction of a month, beginning fifteen (15) days after the Notice of Overpayment was issued and continuing until the overpaid benefits are repaid. The fnterest rate is determined by the Secretary of Revenue as provided bySection806oftheFisca[Code. Inaccordancewith43P.S. §$874(a)and788.1,theaboveoverpaidunemptoymentcompensationbenefitsand interest are a lien upon the franchises and property, beth rea[ and persona[, including after-acquired property, of the above person and attach thereto f~om the date of entry of thf$ Certified Copy of Lien. '"~ng Chief of Ol Claims Services Date © OZ u_O 0o o Z ~ wZ Z Z~ 0 -- zO< ~o> ~Z