HomeMy WebLinkAbout01-3697 IN THE COURT OF COMMON PLEAS OF
CUMB£RL^ND COUNTY, PENNSYLVANIA
DOCKET #
DATE ENTERED
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.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19939~7
AD Number:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
Inn at Holly Inc.
31 S. Baltimore St.
Mt. Holly Springs, PA 17-_0~: ·
QTPJYR. CONTRIBUTION iNTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTIQN AND / OR LATE REPORT/
DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DISHONORED CHEC~
2/00U9 45.90 45.90 3.60
3/00U9 162.69 162.69 9.49
4/00 719.69 719.69 26.99
4/00U9 175.02 175.02 6.56
4.59
I sub-total 1,103.30 46.64 4.59
Additional Intereet Is to be oomputed on the ebove balanoe of unpaid unemployment Filing Fee(S)
~mpensation contributions at the rate determined by the S,or~a~ of Revenue
under Se~ion 806 of the Flscsl Code, 72 P,S, { 806, per month, or fra~ion of a Additional Interest
monm, from 6/30/01
R. 8COT MIEDRICH DATE
· O BE
RETAINED BY RECORDING OFFICE
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