HomeMy WebLinkAbout09-1265UC-728 REV. 1-06 D~ ~ ~~ ~ lU ~ ~ ~~~
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA T DATE ENTERED
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CERTIFIED COPY OF LIEN COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the vs.
Pennsylvania Unemployment •
CUMBERLAND VALLEY CORPORATION
Compensation Law, 43 P.S. § 788.1, 3 0 4 D E A N H U R S T D R I V E
this is a Certified Copy of Lien for CAMP HILL PA 17011
unpaid unemployment compensation N
contributions, interest and penalties to
be entered of record by you and • '~' ` F -~'
indexed as judgments are indexed. _~' `~~~
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ACCOUNT NUMBER: -~ ' ~``'
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AD Number: 3 3 7 2 9 5 ~-~~ •~' :xi
CONTRIBUTION INTEREST DUE ON UNPAID
CONTRIBUTION AND / OR PENALTY DUE
Isae rwerse for
OTR/YR. DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. explanation)
4-07 WE 275.66 .00 275.66 .00
4-07 70.66 .00 70.66 31.17 34.63
1-08 WE 186.16 .00 186.16 .00
1-08 7,065.12 .00 7,065.12 489.47 250.00
2-08 WE 179.51 .00 179.51 •00
2-06 2,097.58 .00 2,097.58 102.47 227.71
"WE" refers to withholding for empioyee contributions. I Sub-total
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e of un ? ::~:::>:::<::>:<::>::>::>:::>:<:::::>:::
to ant :':':
aid unem
Blanc ~: <:..1.
' ' e com uted on the above b <:>::>:::<:»::>::>::><:;:> :.. "~ ~'
Additional interest is to b P P Ym r.::::.;:> :::::.::::::::::::::::::.:::::::::::::::::::::::::::::::.
compensation contributions at the rate of one-twelfth (1/12) of the annual rate Fiiin Fee(S) 19.0 0
determined b the Secrete of Revenue under Section 806 of the Fiscal Code, 72 ;::.;.;.::.. ;.:,:.;;,:;~.::,;::::::.;:; ;:::;.;.;..:;:.::.::: .,.,::.; :...:.:..:::.:;.:;::::.
Y ry .t~d~ S
P.S. ~ 806, per month or fraction of a month, or at the rate of three quarters of one ..... :..... ........ ... > ' .:....i:
er centum (0.75%) per month or fraction of a month, whichever is greater, from the AddRional Interest
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data the become due until aid, from O 1 / 31 / 2 0 0 >:;>;;~~ ~Q#f::7~f'I"!Q~'iii:`.:~;;>:::;::;:;.;::`<:; .:::::.....:. ;:;:;:> ; ;
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The undenlgnsd, Aselstent Dlreetor, Offles of Unemployment Compensation Tax SeMess, Department of Labor end Industry, certifies that the above unemployment eompensatlon
contributions, Interest and penalties are due end payable by the above named defendant under the provisions of the PsnnsyWanla Unemployment Compensation Law. Pursuant to 3edlon
308.1 of sdd Law, 43 P.3. 4 788.1, the above eoMributlons, Interest and psnattles an a I{sn upon the franchisee and property, both real and personal, Including after acquired property, of
the above named, defendant and attach thereto from the date of entry of this CsrtHled Copy of Llsn.
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SALLY L. PIATAK
Assistant Dirsdor, Olflee of Unemployment Compensation Tax 3eMees
TO BE RETAINED
BY RECORDING OFFICE
01/13/2009
DATE
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