HomeMy WebLinkAbout10-5341UC-728C 8-06
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 record by you and
indexed as judgments are indexed.
ACCOUNT NUMBER:
21-19427-1
AD Number: 50407T
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DOCKET # /0 " S3 yl e" ,I 'td-''L
DATE ENTERED y--/ (o / Q
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
• C >
C1
KIMBERLY L MARTIN
1NDIVDUALLY & T/A ' --- '
HORSEFEATHERS HA]E1+f DESIMS
105 HOGESTOWN RD
MECHANICSBURG Pk- 17050"*
• 3
e °.
CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE
OTR/YR
CONTRIBUTION AND / OR
(see reverse for
DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE explanation)
1/10WE $ 37.74 $ 37.74 $ 0.00 $ 0.00
1/10 968.82 968.82 22.65 100.66
"WE" refers to withholding for employee contributions. Sub-total $1,006.56 $22.65 $100.66
Haamonal interest is to ae computed on the above balance of unpaid
unemployment compensation contributions at the rate of one-twelfth
(1/12) of the annual rate determined by the Secretary of Revenue under
Section 806 of the Fiscal Code, 72 P.S. § 806, per month or fraction of
a month, or at the rate of three quarters of one per centum (0.75%) per
month or fraction of a month, whicl?r/i??reater, from the date they
become due until paid, from
Total 09,14',01
Filing Fee(s) 19.00
Additional Legal COata
Additional Interest
Sahiifac"tion Amount
The undersigned, Assistant Director, Office of Unemployment Compensation Tax Services, Department of Labor and Industry, certifies that the above unemployment
compensation contributions, interest and penalties are due and payable by the above named defendant under the provisions of the Pennsylvania Unemployment
Compensation Law. Pursuant to Section 308.1 of said Law, 43 P.S. § 788.1, the above contributions, interest and penalties are a lien upon the franchises and property,
both real and personal, including after acquired property, of the above named defendant and attach thereto from the date of entry of this Certified Copy of Lien.
U"YAL?
Salty L. Piatak
Assistant Director, Office of Unemployment Compensation Tax Services
JULY 14, 2010
DATE
TO BE RETAINED BY RECORDING OFFICE
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