HomeMy WebLinkAbout10-7775IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. 5 5 874(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: )0(X-XX-3012
Job Center # 0991
Claim Week
Ending Date Overpaid
Amount
04/02/05 $184.00
04/09/05 $165.00
04/16/05 $165.00
04/23/05 $182.00
04/30/05 $170.00
05/14/05 $200.00
05/21/05 $231,00
05/28/05 $186,00
06/04/05 $240.00
06/11/05 $165,00
07/23/05 $176.00
07/30/05 $139.00
08/06/05 $94.00
08/13/05 $194.00
Claim Week
Ending Date Overpaid
Amount
08/20/05 $240.00
08/27/05 $219.00
09/03/05 $240.00
09/10/05 $184.00
09/17/05 $196,00
Additonal interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 11/30/10. For the total amount due on
this lien, phone (717) 783-3140.
DOCKET # 1~ ~~~
DATE ENTERED: ~~ ~' ~,j~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
V$. i~ N ~
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DONALD L JONES ~yl C~ ~ ~-rt
100 HOWARD STREET -,-~
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ENOLA PA 17025 -%y~ ..~ o~
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Claim Week Overpaid
Ending Date Amount
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Claim Week Overpaid
Ending Date Amount
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Minus Amount Repaid
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Pluslnterest
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Filing Fee
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$0.00
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$1,~5.8~7~.29
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$19.00
The undersigned, Director, Office of Unemployment Compensation Benefits (OUCB), Department of Labor and Industry of the Commonwealth
of Pennsylvania, certifies that the above person is obligated, pursuant to 43 P,S. S 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 Overpayment was issued and continuing 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. 5 S 874(a) and 788.1, the above overpaid
unemployment compensation benefits and interest are a lien upon the franchises and property, both real and personal, including after-
acquired property, of the above person and attach thereto from the date of entry of this Certified Copy of Lien,
Director, Office of Unemployment Compensation Benefits (OUCB)
December 6, 2010
Date
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