HomeMy WebLinkAbout10-5347UC-728 REV. 1-06
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA 04,$
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DATE ENTERED -/6
CERTIFIED COPY OF LIEN COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the vs. c
Pennsylvania Unemployment • ``,
RESTORATION CLINI``'NC
Compensation Law, 43 P.S. $788.1, 6 2 7 W T R I N D L E R D
this is a Certified Copy of Lien for MECHANICSBURG PA 170556,
unpaid unemployment compensation
contributions, interest and penalties to
be entered of record by you and • >_
indexed as judgments are indexed.
ACCOUNT NUMBER:
AD Number: 347761
CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE
OTR/YR CONTRIBUTION AND / OR (see reverse for
. DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. explanation)
1-06 WE 34.65 .00 34.65 .0C
1-06 2,556.09 .00 2,556.09 990.95 250.0C
2-06 WE 44.21 .00 44.21 .0C
2-06 551.75 .00 551.75 214.55 59.6C
2-07 WE 7.50 7.50 .00 OC
2-07 137.14 137.14 .00 6.51 25.OC
NE" refers to withholding for employee contributions. sub-total
3 166.70 1,212.01 334.6( 4ddidonal interest is to be computed on the above balance of unpaid unemployment .ompensatlon contributions at the rate of one-twelfth (1/12) of the annual rate Filing "?n Fee(s) 1:9°.'0'Q
::>:>:? ?::.. ...:..................................... ...................
determined by the Secretary of Revenue under Section 806 of the Fiscal Code 72 :: • ::::::.::.:::.::.:::::.::::::::::•::::::::::::: •::::::::::::::._::::.:.......::
P.S. S 806, per month or fraction of a month, or at the rats of three quarters of one
Der centum (0.7596) per month or fraction of a month, whichever Is greater, from the Additional Interest
.
ate they become due until Paid, from 0 7 3 1 2 0 10
e /
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. 1 788.1, the above contributions, Interest and penalties we 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 data of entry of this Certified Copy of Lien.
Uao,?(4 L
SALLY L. PIATAK
07/21/2010
DATE
Assistant Director, Office of Unemployment Compensation Tax Services
TO BE RETAINED BY RECORDING OFFICE
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