HomeMy WebLinkAbout04-2942
UC-728 REV. 4-04
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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CERTIFIED COpy OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S. 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:
306514
.....
. .
,
- .
QTRlYR. CONTRIBUTION
DUE PAID/CREDIT
3-01 WE .00 .00
3-01 321.96 .00
4-01 WE .00 .00
4-01 214.66 .00
1-02 WE .00 .00
1-02 665.95 .00
2-02 WE .00 .00
2-02 425.95 .00
3-02 WE .00 .00
3-02 319.46 .00
4-02 WE .00 .00
4-02 212.96 .00
I sub-total
ditionallnterest is to be computed on the above balance of unpaid unemployment
mpensatlon contributions at the rate determined by the Seoretary of Revenue
der Section 806 of the Fiscal Code, 72 P.S. g 806, per month, or fraction of a
>nth, from 06/30/2004
DOCKET # O'f ,)tJ'l:z ~ ~
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE "
UNEMPLOYMENT COMPENSATlot?FU~
o
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.
vs.
MARY I WHITEHEAD-WA~.
INDIVIDUALLY & T/A
KEYSTONE FLOORING
247 RIDGEHILL ROAD ".
NEW KINGSTOWN PA 17~~2
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INTEREST DUE ON UNPAID PENAL TV DUE -
CONTRIBUTION AND I OR LATE REPORTI
BALANCE CONTRIBUTION PAID LATE. DISHONORED CHECK
.00 .00
321.96 46.66 32.20
.00 .00
214.66 26.63 25.00
.00 .00
665.95 73.25 66.60
.00 .00
425.95 40.46 42.60
.00 .00
319.46 25.55 31. 95
.00 .00
212.96 14.02 25.00
2,160.98
226.79
223.35
Add~ionallnterest
The underslgn.d, A.slstant Director, Office of Unemployment Compensation Tal( Services, Department of Labor and IndustT)', certifies thai the above unemployment compensation
contributions, Interest and penalties are due and payable by the above nemed defendant under the provisions of the Pennsywania Unemployment Compensation Law. Pursuant to Section
308.1 of said Law, 43 P.S. f 788.1, the above contributions, Interest and penaltle. are a lien upon the franchises and property, both real and personal, Including after acquired property, of
"'6;;-'-"-'-""~'-""_._'-
SALLY L. FUHRER
Assistant Director, Office of Unemployment Compensation Tal( 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 2942 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 all intents and purposes,
as we could were we present in person to do so; and for so doing, this shan 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. 306514
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- SEAN F. CREEGA:
Deputy Chief Counsel for Employment Security
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