HomeMy WebLinkAbout10-0245UC-728 REV. 1-06
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA ft"$
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.
ACCOUNT NUMBER:
AD Number: 343716
DOCKET # 16 - 714,S' (ILL
DATE ENTER D ee...
419-40 v 4
CJ(# 33 ?;116
.2-a SQG3
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
•
VS.
D & F DISTRIBUTING, INC.
110 MAPLE AVE
CAMP HILL PA 17011
•
QTR/YR CONTRIBUTION INTEREST DUE ON UNPAID
TRIB
TIO
CO PENALTY DUE
. DUE PAID/CREDIT BALANCE U
N
N
ION PAID LATE.
ISeexplanation) or
2-09 CF +?s 1,000.01
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VE" refers to withholding for employee contributions. Lsub-total
.00 .00 1,000.0
Additional interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate of one-twelfth (1/12) of the annual rate
determined by the Secretary of Revenue under Section 806 of the Fiscal Code, 72
P.S. § 806, per month or fraction of a month, or at the rate of three quarters of one
per centum (0.75%) per month or fraction of a month, whichever is greater, from the
date they become due until paid, from 12 / 31 / 2 0 0 9 .
Totat .. .....' ... i .... t O r Q .:
Filing Fee(s . ) 19 o 0
fCl4]I);<AI tS
Additional Interest
a Ad io tY1
The undersigned, Assistant Director, office of Unemployment Compensation Tax Services, Department of Labor and Industry, certifies that the above unemployment compensation
contributions, Interest and penalties are due and payable by the above named defendant under the provisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section
308.1 of said Law, 43 P.S. § 788. 1, the above contributions, interest and penalties are a lien upon the franchises 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 Certified Copy of Lien.
SALLY L. PIATAK 12 14 / 2 0 0 9
DATE
Assistant Director, Office of Unemployment Compensation Tax Services
TO BE RETAINED BY RECORDING OFFICE
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