HomeMy WebLinkAbout01-6554UC-728 REV, 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBER~.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
DOCKET #
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
PAUL MATTUS AGENCY
3'810 MARKET ST
CAMP HILL PA 17011
INC
contributions, interest and penalties
be entered of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-18229
AD Number: 292532
QTR/YR. CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
DUE PAID/CREDIT BAlaNCE CONTRIBUTION PAiD LATE. DISHONORED CHECK
1-01 WE .00 .00 .00 .00
1-01 1,508.58 1,004.96 503.62 46. 76 150.86
I sub-total
503.62 46.76 150.86
Additional Interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) 9.0 0
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P,S, § 806, per month, or fraction of a Additional Interest
month, from 11/30/2001
The undersigned, Director, Bureau of Employer Tax Operetlon~, Department of L~bor and Industry, certifies that the above unemployment companal~tlon contributions, Interest and penalties
· re due =nd payable by the above named defendant under the provisions of the Pennsylvania Unemployment Compens=tlon L=w. Pursuant to Section 308.1 of said Law, 43 P.S. § 788.1,
the above contributions, Interest and pane.~tiea are a Ilan upon the~'ranchleea end prope~J, doth real and persons J, Including after acquired propemj, of the above named d~endant and
attach thereto from the date of ent~j of thl~ Certified Copy of Lien.
R. SCOT MIEDRICH 1 1 / 0 6 / 2 0 0 1
Assistant Director, Burea~ of Emptoyer Tax Operations DATE
TO BE RETAINED BY
RECORDING OFFICE
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