HomeMy WebLinkAbout04-2207UC-728 REV. 4-04
.. TRE COU.T OF COMMO. P.EAS CE
OU.BERLA.D COU. ', PE..SYLVA..A
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
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
DOCKET# OY
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
V$,
RODNEY K HOUGH MD
49 BROOKWOOD AVE
CARLISLE PA 17013
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-16838 6
AD Number: 305901
QTR/YR. CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE, D~SHONORED CHECK
4-03 WE 16.02 .00 16.02 .00
4-03 1,229.84 .00 1,229.84 12.46 .00
? --
sub-total
1,245.86 12.46 .00
Additional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) 1 4.0 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 04/30/2004
SALLY L, FUHRER
TO BE RETAINED BY RECORDING OFFICE
04/30/2004
DATE
Z
0
Z
<~ o
>z
ZO
~mO
~ Z~
~ ~ZzWm O--Z
o ~ ~ o~ 3 Pz
Z
~ ~ ~Z
IN THE COURT OF COMMON PLEAS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
to the use of the
UNEMPLOYMENT COMPENSATION FUND
vs.
RODNEY K HOUGH MD
49 BROOKWOOD AVE
CARLISLE PA 17013
DOCKET NUMBER 04 2207 cIv
AUTHORITY TO REMOVE LIEN
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, NOVEMBER 17, 2004, the Commonwealth of Pennsylvania,
Department of Labor and Industry, to the use of the Unemployment Compensation Fund,
Plaintiff in above action, through its Chief Counsel, by its Assistant Counsel, desires that the
above captioned lien be removed from record.
AND you, the Prothonotary of said Court, are hereby authorized and empowered, in
the name and stead of the Plaintiff, to remove said lien from the record as fully and
effectually, to all intents and purposes, as we could were we present in person to do so: and
for so doing, this shall be your sufficient warrant of authority.
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the Department of
Labor and Industry, Commonwealth of Pennsylvania, this 17 TH day of NOVEMBER , 2004.
ACCOUNT NO. 21-16838
AD NO. 305901
Deputy Chief Counsel For Employment Security