HomeMy WebLinkAbout01-0604UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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 reoord by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19309 7
AD Number: 288278
QTR/YR. CONTRIBUTION
DUE PAID/CREDIT
DOCKET #
DATE
EN'I~R_ ED~
COMMONWEALTH OF PE~YLV.~IA,:
DEPARTMENT OF LABOR .~i~ND~tST
TO THE USE OF TP~F~
UNEMPLOYMENT COMPENS~'IoN-~uN~
VS.
JOHN T SMITH & ROB]~RT~3 THORSON
INDIVIDUALLY & ASn -' ~.AR~ER~'.i T/A
WHY NOT RESTAURAt%T~& (~k%TERING
959 ' RINSLE
CARLISLE PA 1701~5:
INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIOUTION AND / OR LATE REPORT/
BALANCE CONTRI~UTM PAID LATE` DISHONOREB .CHEC~
1-99 WE .00 .00 .00 .00
1-99 376.26 .00 376.26 50.48 37.63
2-99 WE .00 .00 .00 .00
2-99 428.44 25.00 403.44 49.13 42.84
I 779.70 99.61 80.47
sub-total
Additional interest is to be computed on the above balano, of unpaid unemployment ~ [19 ~(~) ~: ? ~
under Section 806 of the Fiscal Code, 72 P.S. S 806, per month, or fra~ion of a AddEional Interest
R. SCOT MIEDRICH
Assl~tarlt Director, Bureau of Employer Tax Operations
TO BE RETAINED
BY RECORDING OFFICE
01/02/2001
DATE
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