HomeMy WebLinkAbout09-2598IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET # Of. A59-' Cu,?.r 7e-,
DATE ENTERED:
CERTIFIED COPY OF LIEN OF THE ""'10 'My
yD o r?,cr? COMMONWEALTH OF PENNSYLVANIA
Cl2_ )-Q G !Fy _ y a S i R 2 7 All I I DIfFIARTMENT OF LABOR AND INDUSTRY
TO THE PROTHONOTARY OF SAID COURT: TO THE USE OF THE
EMPLOYMENT COMPENSATION FUND
FIE' i;. Pursuant to 43 P.S. 5 5 874(a) and 788. 1, this is a vs.
Certified Copy of Lien for overpaid unemployment
compensation benefits and interest to be entered of IRVIN L SHULTZ
record by you and indexed as judgments are indexed. 107 E GREEN ST
MECHANIICSBURG, PA 17055-3331
Social Security Account Number: XXX-XX-9374
Job Center # 0991
Claim Week
Ending Date Overpaid
Amount
07/03/04 $358.
07/10/04 $358.00
07/17/04 $358.00
Claim Week
Ending Date Overpaid
Amount
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Claim Week Overpaid
Ending Data Amount
Additonal interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 03/31/09. For the total amount due on
this lien, phone (717) 783-3140.
Claim Week Overpaid
Ending Date Amount
Total Overpaid Amount
Minus Amount Repaid
Principal Balance Due
Plus Interest
Total Due
Filing Fee
$1,074.00
$60.00
$1,014.00
$364.32
$1,378.32
$19.00
The undersigned, Director, Office of Unemployment Compensation Benefits (OUCB), Department of Labor and Industry of the Commonwealth
of Pennsylvania, certifies that the above person is obligated, pursuant to 43 P.S. 5 874(a) to repay the above overpaid unemployment
compensation benefits received by him/her together with Interest thereon, charged per month or fraction of a month, beginning fifteen (15)
days after the Notice of Overpayment was issued and continuing until the overpaid benefits are repaid. The interest rate is determined by the
Secretary of Revenue as provided by Section 806 of the Fiscal Code. In accordance with 43 P.S. 15 874(a) and 788.1, the above overpaid
unemployment compensation benefits and interest are a lien upon the franchises and property, both real and personal, including after-
acquired property, of the above person and attach thereto from the date of entry of this Certified Copy of Lien.
Director, Office of Unemployment Compensation Benefits (OUCB)
April 17, 2009
Date
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