HomeMy WebLinkAbout08-3355IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
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TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. S g 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 judgments are indexed.
Social Security Account Number: XXX-XX-9922
Job Center # 0996
Claim Week
Ending Date Overpaid
Amount
06/28/03 $236.00
07/05/03 $236.
07/12/03 $236.00
07/19/03 $236.00
07/26/03 $236.
08/02/03 $236.00
08/09/03 $236.00
08/16/03 $236.
08/23/03 $236.
08/30/03 $236.M
09/06/03 $236.0
09/13/03 $236.
09/20/03 $236.00
09/27/03 $236.00
Claim Week
Ending Date Overpaid
Amount
10/04/03 $236.00
10/11/03 $236.00
10/18/03 $236.00
10/25/03 $236.00
DOCKET # U &~ - 3 3 S~ ~;~( ~~,,,
DATE ENTERED:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
JEREMY CARBAUGH
1101 CLAREMONT ROAD
CARLISLE, PA 17013
Claim Week Overpaid
Ending Date .Amount
Claim Week
Ending Date Overpaid
Amount
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Additonal interest will accrue on the balance due of Totn!-Qvetpaid Am~our><t
the above overpaid unemployment compensation Minus Amount Repaid
benefits after 04/30/08. For the total amount due on priruipal Btttance l'~ue
this lien, phone (717) 783-3140. Plus Interest
Total Due
Filing Fee
$4,248.00
$ 0.00
$4, 248.00
$1, 309.80
$5,587.80
$19.00
The undersigned, Director, Bureau of Unemployment Compensation Benefits and Allowances, Department of Labor and Industry of the
Commonwealth of Pennsylvania, certifies that the above person is obligated, pursuant to 43 P.S. § 874(x) 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 interest
rate is determined by the Secretary of Revenue as provided by Section 806 of the Fiscal Code. In accordance with 43 P.S. § § 874(a) and
788.1, the above overpaid unemployment compensation benefits and interest are a lien upon the franchises and property, both real and
personal, including after-acquired property, of the above person and attach thereto from the date of entry of this Certified Copy of Lien.
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May 16, 2008
Director, Bureau of Unemployment Compensation Benefits and Allowances Date
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