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04-2938
IN 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 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: ~-1657 Job Center #: 0996 DOCKET# ~V- DATE ENTERED COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND VS. JOHN J. GEPHART 40 EAST MAIN STREET MECHANCISBURG, PA. 17055 Claim Week Overpaid Claim Week Overpaid Claim Week Overpaid Claim Week Ending Date Amount Ending Date Amount Ending Date Amount Ending Date Overpaid Amount 12-26-98 01-02o99 01-09-99 01-16-99 01-23o99 01-30-99 02-06-99 02-13-99 02-20-99 02-27-99 03-06-99 03-13-99 ;98,00 03-20-99 ;98.00 03-37-99 198.00 04-03-99 ;98.00 04-10-99 ;98.00 04-17-99 198.00 04-24-99 ;98.00 O5-01-99 ;98.00 05-08-99 ;98.00 05-22-99 ;98.00 05-29-99 S98.00 06-05-99 S98.00 ;98,00 ;98,00 ;98.00 ;98.00 ;98.0O ;98.00 ;98,0O ~98.0O ,98.00 ;98.00 ;98.00 S98.0O Additional interest will accrue on the balance due of the above overpaid unemployment compensation benefits after 05-31-04 For the total amount due on this lien, phone (717) 783-3140. Minus Amount Repaid Plus Interest 0 783.76 Fillml Fee $14. O0 The undersigned, Assistant Director, Bureau of Unemployment Compensation Benefits and ALLowances, Department of Labor and Industry of the Commonwealth of Pennsylvania, certifies that the above person fs obligated, pursuant to 43 P.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 Overpeyment was issued and continuin8 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. § § 874(a) and 788.1, the above overpaid unemployment compensation benefits and interest are a lien upon the franchises and property, both rea[ and persona[, including after-acquired property, of the above person and attach thereto from the date of entry of this Certified Copy of Lien. ~f .½ June 14, 2004 ~'t~Ing Chief of U] Claims Ser~ces Date >- Z n'~ © OZ wO 0o 0 0 T Z CC I.- Z ~: w 0 o