HomeMy WebLinkAbout04-4403UC-728 REV. 4-04
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.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-13.150 3
DOCKET# OV- q VD3 ~
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
CHARLES W WILEY JR
200 MOUNTAI~ RD
LEWISBERRY PA 17339
AD Number: 307125
OTR/YR. CONTRIBUTION
DUE PAID/CREDIT BALANCE
1-02 WE .00 .00 .00
1-02 309.31 .00 309.31
INTEREST DUE ON UNPAID
CONTRIBUTION AND / OR
CONTRIBUTION pal0 LATE.
pENALTY DUE -
LATE REPORT/
DISHONORED CHECK
Isub-total
309.31 36.08 .00
%dditional interest is to be computed on the above balance of unpaid unemployment 1 4.0 0
;ompensation contributions at the rate determined by the Secretary of Revenue
Jnder Section 808 of the Fiscal Code, 72 P.S, § 806, per month, or fraction of a Additional Interest
nonth, from 08/31/2004
The undersigrlab, Ass~t ant Director, Office of tJnemployment Compensation Tax Services, Department of Labor and In dustG', certifies that the above unemployment compensation
¢ontrlbutlons, Interest and penalties are due and payaJ~le by the above named defendant under the provisions of the Pennsylvar~ia Unemployment Compensation Law. Pursuant to Section
308.1 of said Law, 43 P.S. § 7~S.1, the above contributions, ~nterest and penalties are a lien upon the franchises and property, bOth re~ and personal, Including after aCdUlred property, of
SALLY L, FUHRER
Assistant Dire~or, Office of Unemployment Compensation Tax Services
TO BE RETAINED BY RECORDING OFFICE
08/02/2004
DATE
Z
Z
0
Z
Z
0
>Z
~0 ~w
00~
~ Zm O--Z
§ ~ ~ o~~ ~ ~ ~z