HomeMy WebLinkAbout01-6371UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERT.AND 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
DOCKET # O/- ~,, 3?/
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
COURTEOUS RENTAL
50 MARKET STREET
LEMOYNE PA 17043
ACCOUNT NUMBER: 21-17617 6
AD Number: 292370
INTEREST DUE ON UNPAID
CONTRIBUTION CONTRIBUTION AND / OR ! PENALTYLATE REPORT/DUE -
QTR/YR, DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DI$HONORED CHECK
1-01 WE .00 .00 .00 .00
1-01 3 , 908.97 · 00 3 , 908 · 97 175 · 90 250 . 00
2-01 WE .00 .00 .00 .00
2-01 3,790.60 .00 3,790.60 85.29 250.00
I 7~699.57 261.19 500.00
sub-total
Additional interest is to be =omputed on the above balance of unpaid unemployment Filing Fee(s) ~: 0 ? ...........
compensation contributions at the rate determined by the Secretary of Revenue ~ii.~!~.i.~.!i.~??~i?~i~?~i~?~i~i~i~!~!?~i~!ii~i~i~i!~i~i~iiiiiiiii~!i!iiii!~iliiiiiiiiiiiiiiiiiii!!i!iiiiiiiiiiiiiiiiiiiiiiiii!iiiii
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional Interest
The undemlgned, Director, Bureau of Employer Tax Operatlone, Depa~ment of Labor and Induetry, certifies that the above unemployment oompen~etlon contributionl, interest and panaltlee
are due and payable by the above named defendant under the provll[on! of the Pennsylvania Unemployment Compensation Law. Pureuant to Section 308.1 of laid Law, 43 P.S. § 788.1,
the above contributions, Interest and penalties are & lien upon the franchllee and property, both real and personal, including after acquired property, of the above named defendant and
eftach thereto from the date of entry of this Cerllfled Copy of Uen.
R. SCOT MIEDRICH
Assietant OIre~tor, Bureau of Employer Tax Operations
TO EE
RETAINED
BY RECORDING OFFICE
[o/2 /2OOl
DATE
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