HomeMy WebLinkAbout10-2557IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. 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-5997
Job Center # 0996
Claim Week
Ending Date Overpaid
Amount
06/26/04 $452.00
07/03/04 $452.00
07/10/04 $452.00
07/17/04 $452.00
07/24/04 $452.00
07/31/04 $452.00
DOCKET # 10 -01-60 UA%Cre?m
DATE ENTERED:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INPJ1STU ;-,
TO THE USE OF THE K _4
UNEMPLOYMENT COMPENSAIFUI s
VS. 7;- r?
9 c
2
WILLIAM D SHERTZER
144 PEACH LANE
CARLISLE PA 17015
Claim Week Overpaid
Ending Date Amount
Additonal interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 03131/10. For the total amount due on
this lien, phone (717) 783-3140.
Claim Week Overpaid
Ending Date Amount
Claim Week Overpaid
Ending Date Amount
Total 0verpdid Ammirit $2,712.00
Minus Amount Repaid $300.00
Principal, Etinc $2,412.00
Plus Interest $1,089.17
Total Due $3,501.17
Filing Fee $19.00
The undersigned, Director, Bureau of Unemployment Compensation Benefits and Allowances, 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 5 874(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, Bureau of Unemployment Compensation Benefits and Allowances
IQ.00 PO PUFF
April 6, 2010 ?.o2c10'170
Date
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