HomeMy WebLinkAbout09-8237IN THE COURT OF COMMON PLEAS OF
CUMBEgLAND COUNTY, PENNSYLVANIA
Al. J-'v & l r,. "
CERTIFIED COPY OF LIEN
( it- 3 A S u 7 / r.-?,
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. 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: XXX-XX-8855
Job Center # 0996
Claim Week
Ending Date Overpaid
Amount
05/29/04 $250.00
07/10/04 $250.00
07/17/04 $250.00
07/24/04 $250.00
07/31/04 $250.00
08/07/04 $250.00
08/14/04 $250.00
08/21/04 $250.00
08/28/04 $250.00
09/04/04 $250.00
09/11/04 $250.00
09/18/04 $250.00
09/25/04 $250.00
10/02/04 $250.00
Claim Week
Ending Date Overpaid
Amount
10/09/04 $250.00
10/16/04 $250.00
DOCKET #' '' i ?
DATE ENTERED:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
SHAWN C CAMPBELL
60 HUMMEL AVE
LEMOYNE PA 17043
Claim Week
Ending Date Overpaid
Amount
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Additonal interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 10/31/09. For the total amount due on
this lien, phone (717) 783-3140.
Claim Week Overpaid
Ending Date Amount
Total Cvverpaid Amount $4,000,00
Minus Amount Repaid $250.00
Principal Balance Due $3,750,00
Plus Interest $1,465.34
Total Due $5,215.34
Filing Fee $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. 5 S 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)
November 20, 2009
Date
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