HomeMy WebLinkAbout04-1198IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. S § 874(a) and 788.1, this is a
Certified Copy of Lien for over~id unemployment
com~n~on ~nefits and interest to be entered
of record by you and indexed as ~udgmen~ are
in.xed.
Social Security Account Number: 204-56-9910
Job Center #: 0996
DOCKET # O ~/- / / d) ? ~_~,L~ "7--~..
DATE ENTERED
COAMaONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
JUNE V. BLACK
PO BOX 27
ENOLA, PA 17025
Claim Week Ove~atd Claim Week Ore,aid
£ndinff Date Amount Endinil Date Amount
Claim Week Ore,pard
Ending Date Amount
04-25-9B $199.00
05-02-98 $199.00
above overpaid unemployment compensation benefits
after 02-29-04 For the total amount due on this lien, Minus Amount Repaid 0
Filing Fee $14.00
The undersigned, A~sistant Director, I~ureeu of Unemployment Compensation Benefits and Nlowancas, Department of Labor and Industry of the
Commoeweatth of Pennsytvania, certifies that the above person is obligated, pursuant to 43 P.S. § 874(a) to repay the above overpaid unemployment
compensation benefits received by hire/her together w/th interest thereon, charged per month or fraction of a month, beginning fifteen (15) days after the
Notice of Overpayment was issued and confinuinll unfit the overpaid benefits are repaid. The interest rate is determined by the Secretary of Revenue as
providedbySection g06ofthe Fiscal Code. In accordance with 43 P.$. §Sa74(a) and788.1, the above overpaid unemployment compensation benefits and
interest are a tien upon the franchises and property, both rea[ and persona[, inctudfng after-acquired property, of the above person and attach the~to from
the date of entry of this Certified Copy of Lien.
~m8 Chief of UI Claims Ser¥ices
Merch
2004
Date
nz
ZUJ
On
OZ
rr'
o
I-.,
u~Z
_~z
Oz~
~_~-o
I--Z
rtz