HomeMy WebLinkAbout01-6556IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET # O/-
DATE ENTERED
CERTIFIED COPY OF LIEN
T~THE PROTHONOTARY OF SAID COURT:
Pur~u~or~3 P.S. § § 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: 199-50-4930
Job Center #: 0995
Claim Week Ovelpaid
Ending Date Amount
10-21-95 $ 348.00
10-28-95 $ 348.00
Claim Week Overpaid
Ending Date Amount
Additional interest will accrue on the balance due of the
above overpaid unemployment compensation benefits
after 10/31/2001. For the total amount due on this
lien, phone (717) 787-4765.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
DAVID J MILLER
PO BOX 200
CAMP HILL PA 17001
Clatm Week Overpaid
End~ng Date Amount
Plus Interest ~ 297.54
Filin! Fee $ 9.00
The undersigned, Assistant Director, Bureau of UnempLoyment Compensation Benefits and A!.towances, Department of Labor and Industry of the
Commonweal. th of Pennsytvenia, certifies that the above person is obLisated, pursuant to 43 P.S. § 874(a) to repay the above overpaid unemployment
compensation benefits received by him/her to~ether with interest thereon, charred per month or fraction of a month, beEinninE fifteen (15) days after the
Notice of Overpayment was issued and continuing unfit the overpaid benefits are repaid. The interest rate is determined by the Secretary of Revenue as
provided by Section 806 of the Fiscat 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 rea[ and personaL, incLudinE after-acquired property, of the above person and attach thereto from
the date of entry of this Certified Copy of Lien.
November 13. 2001
Date
~ ~§ z ~z
~ ~z ~ z~
~z
z~ z~:~
o~ z~
~0~ /~
~ io~
O~ ~0
O~
Z Om Z