HomeMy WebLinkAbout08-5333UC-728 REV. 1-06
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA '
CYt, d Ul, i~ `f
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.
ACCOUNT NUMBER:
AD Number: 3 3 3 2 51
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
•
MICHAEL ALAN JOHNSON AND
FREDERICK BENJAMIN MORRIS
INDIVIDUALLY AND AS PARTNERS T/A
TRUCK STOP EMBROIDERY
PETRO SHOPPING CENTER
~ CARLISLE PA 17013
CONTRIBUTION INTEREST DUE ON UNPAIO PENALTY DUE
QTR/YR, '
O or
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DUE PAIDJCREDIT BALANCE CONTRI UTION PA
10 LA
TE. axpl
anationl
3-06 WE 41.56 .00 41.56 .0
3-06 191.35 .00 191.35 38.43 25.0
4-06 WE 41.56 .00 41.56 .0
4-06 191.35 .00 191.35 33.19 25.0
1-07 WE 59.23 .00 59.23 .0
1-07 571.33 .00 571.33 75.67 63.0
2-07 WE 59.23 .00 59.23 .0
2-07 571.33 .00 571.33 61.47 63.0
3-07 WE 59.23 .00 ~ 59.23 .0
3-07 571.33 .00 571.33 47.29 63.0
1-08 WE 49.60 .00 49.60 .0
1-08 2,467.04 .00 2,467.04 75.50 250.0
VE" refers to withholding for employee contributions. SUb-total
4 874.14 331.55 489.18
Additional interest is to be computed on the above balance of unpaid unemployment :,::<;..;.: ;;;;:..;:;,,
compensation contributions at the rate of one-twelfth (1/12) of the annual rate
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Filing Fee(s) 19 0 0
etermined by the Secretary of Revenue under Section 806 of the Flecal Code, 72
P.S. ~ 806, per month or fraction of a month, or at the rats of three quarters of one , ~~~~ ~~<~
per ceMum (0.7596) per month or fraction of a month, whichever is greater, from the Additional Interest
date they become due until paid, from 0 8 / 31 2 0 0 8 .
Ths undsrstgnad, Assistant Director, OfHes of Unemployment Compeneatlon Tax Services, bspartment of Labor and Industry, esrlffles that the above unemployment compensation
contributions, interest end psnaklea ors due end payable by the above nomad defendant under the provisions of the Pe~nsylvanla Unemployment Compensation Law. Pursuant to SacNon
308.1 of said Law, 43 P.S. $ 768.1, the above eontributlons, Intsrsst end penaltlss ors a Iisn upon the franchises and properly, both real and personal, Including attsr acquired property, of
the above named defendant and attach thereto from the data of entry of this Certiflad Copy of Lisn.
~~~~ /~
SALLY L. PIATAK 0 8/ 2 2 2 0 0 8
DATE
Assistnnt Director, Office of Unemployment Compsnsetlon Tsx 3srvicss
TO BE RETAINED BY RECORDING OFFICE
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