HomeMy WebLinkAbout04-2941
UC.728 REV. 4-04
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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CERTIFrE:D 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.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19100 0
AD Number:
306513
QTRiYR. CONTRIBUTION
DUE PAID/CREDIT
I-DO WE .00 .00
1-00 394.40 .00
2-00 WE .00 .00
2-00 394.40 .00
3-00 WE .00 .00
3-00 295.80 .00
4-00 WE .00 .00
4-00 197.20 .00
1-01 WE .00 .00
1-01 429.31 .00
2-01 WE .00 .00
2-01 429.31 .00
I sub-total
litionsl interest is to be computed on the above balance of unpaid unemployment
,pensation contributions at the rate determined by the Secretary of Revenue
ler Section 806 of the Fisoal Code, 72 P.S. 6 806, per month, or fraotlon of s
llh, trom 06/30/2004
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DATE ENTEf,lED
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IZ. 0 '1- ;l '1'11 Ci;.AR I~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
.
MARY I WHITEHEAD-WAY
INDIVIDUALLY & T/A
KEYSTONE FLOORING
247 RIDGEHILL ROAD
NEW KINGSTOWN PA 17072
.
INTEREST DUE ON UNPAID PENAL TV DUE -
CONTRIBUTION AND I OR LATE REPORTI
BALANCE CONTRIBUTION PAID LATE, DISHONORED CHECK
.00 .00
394.40 107.80 39.44
.00 .00
394.40 99.91 39.44
.00 .00
295.80 69.02 29.58
.00 .00
197.20 41.90 25.00
.00 .00
429.31 81.56 42.93
.00 .00
429.31 71.91 42.93
2,140.42
472.10
219.32
The undersigned, Anlslanl Director, Office of Unemployment Comp.nIIallon Tax Services, Department of Labor and Industry, certffi.. that the above unemployment compensation
contributions, intere" and penalties I.re due and payable by the above nl.mctd defendant under the provisions of the Penniylvanla Unemployment Compensation Law. Pursuant to Section
308.1 of said Law, 43 P.S. , 788.1, tne above contributions, Interest and penalties are a lien upon the franchises and property, both recal and per.onal, Including after acquired property, of
..6;;;-...._-~~.._._-'~.-
SALLY L. FUHRER
Assistant Director, Office of Unemployment Compensation Tax Services
TO BE RETAINED BY RECORDING OFFICE
06/10/2004
DATE
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR & INDUSTRY
to the use of the
UNEMPLOYMENT COMPENSATION FUND
Docket Number 04 2941 CIV
vs.
MARY I WHITEHEAD-WAY
INDIVIDUALLY & T/A
KEYSTONE FLOORING
247 RIDGEHILL ROAD
NEW KINGSTOWN PA 17072
AUTHORITY TO SATISFY
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, AUGUST 10. 2006 the Commonwealth of Pennsylvania,
Department of Labor and Industry, to the use of the Unemployment Compensation Fund,
Plaintiff in the above action. through its Chief Counsel. by its Deputy Chief Counsel for
Employment Security, acknowledges having received of the Defendant above named full
payment and satisfaction of the above captioned Lien, with the interest and costs thereon due
it; and desire that satisfaction be entered upon the records thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your costs, are
hereby authorized and empowered, in the name and stead of the Plaintiff, to enter full
satisfaction upon the record of said Lien as fully and effectually, to aU intents and purposes,
as we could were we present in person to do so; and for so doing, this shall be your
sufficient warrant of authority.
IN TESTIMONY WHEREOF. there is hereunto affixed the Seal of the Department of
Labor and Industry, Commonwealth of Pennsylvania, this 10 TH day of AUGUST , 2006.
ACCOUNT NO. 21-19100
AD NO. 306513
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SEAN F. CREEG
Deputy Chief Counsel for Employment Security
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