HomeMy WebLinkAbout01-6555UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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CERTIFIED COPY OF LIEN
DOCKET #o,'..
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
GREAT LOCATION INC
T/A KOKOMO' S
3721 MARKET ST
CAMP HILL PA 17011 (73 C:~ C;.
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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
ACCOUNT NUMBER: 21-20051 4
AD Number: 292501 ~,,~ ~
QTR/YR. CONTRIBUTION .NTEREST DUE ON UN.^.D PE.^LTV DUE -
CONTRIBUTION AND / OR LATE REPORT/
DUE PAID/CREDIT BALANCE CO.TRIBUT~O. P^,D L^TE. mSHONO"ED CHECN
1-01 !WE .00 .00 .00 .00
1-01 3,187.98 .00 3,187.98 167.37 250.00
sub-total
3r187.98 167.37 250.00
Additional interest is to be computed on the above balance of unpeld unemployment Filing Fee(s) 9.0 0
compensation contributions at the rate determined by the Secretary of Revenue !iii~:~ ~?~ ~i~:~ii~i!!
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional Interest
The underalgned, Director, Bureau of Employer Tax Operatlona, D®p&rtment of Labor and Induatry, certifies that the above unemployment ¢ompenaatlon contrlbutlon~, intereat and p®na~tle~
are due and payable by the above named def®nde~ under the provi~lons of the Pennsylvania Unemployment Compensation Law. Pursuant to Seatlon 308.1 of eaJd Law, 43 P.S. § 788.1,
the above contributions, Interest end penalties are a lien upon the franchlae~ and property, both reat and personal, Including after acquired prop®~ry, of the ebove named defendant and
attach thereto from the date of entry of this Certified Copy of Lien.
R. SCOT MIEDRICH 11/01/2001
Assistant Director, Bureau of Employer Tax Operations DATE
TO BE RETAINED BY RECORDING OFFICE
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