HomeMy WebLinkAbout01-3488UC-728 REV. 6-98
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 ss judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-17617 6
AD Number: 289562
DATE 'ENTERED OTARY
CUMi F u ,:,iD COUNT¢
COMMONWEALTH OF PEI~I~~
DEPARTMENT OF ~BOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
COURTEOUS RENTAL
50 MARKET STREET
LEMOYNE PA 17043
INC
QTR/YR, CONTRIBUTION INTERESTDUEONUNPAID pENALTYBUE-
CONTRIBUTION AND ! OR LATE REPORT/
DUE PAID/CREDIT BA~NCE CONTR[BUTION~AIDLATE. ~ISHONOREDCHECK
1-00 WE .00 .00 .00 .00
1-00 2,759.42 .00 2,759.42 250.65 250.00
2-00 WE .00 .00 .00 .00
2-00 2,246.48 .00 2,246.48 159.13 224.65
2-00 CP 100.00
sub-total
5,005.90 409.78 574.65
Additional interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate determined by the Secretary of Revenue
under Section 808 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a
month, from 05/31/2001
Additional Interest
R. SCOT MIEDRICH
AssiSte.~t Director, eureau of Eml31(3yer Tax Operations
TO B~ RETATNED ~¥ R~CORDTNG
OFFICE
05/01/2001
DATE
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