HomeMy WebLinkAbout04-4404UC-728 REV. 4-04
IN THE COURT OF COMMON PLEAS OF
CUNBERLAND COUNTY, PENNSYLVANIA
O.q/
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: 21-11150 3
AD Number: 307124
DOCKET# OV- g¥O?
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
CHARLES W WILEY
200 MOUNTAIN RD
LEWISBERRY
JR
PA 17339 ~i '~-
-~ c:
QTRJYR. CONTRIBUTION INTERESTDUEONUNpAID PENALTYDUE
CONTRIBUTION AND / OR LATE REPORT/
DUE PAID/CREDIT BA~NCE CONTR~SUT~ONPAIDLATE. DISHONOREOCHEC~
4-00 WE .00 .00 .00 .00
4-00 366.63 200.00 166.63 44.02
4-00 CP 100.0C
1-01 WE .00 .00 .00 .0C
1-01 373.26 .00 373.26 73.40 .0£
1-01 CP 100.0f
2-01 WE .00 .00 .00 .0£
2-01 313.18 .00 313.18 54.54 31.3;
3-01 WE .00 .00 .00 .0£
3-01 184.76 .00 184.76 28.02 .0(
4-01 WE .00 .00 .00 .0(
4-01 177.03 .00 177.03 23.31 .0(
sub-total
1,214.86 223.29 231.3;
Additional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) 14.0 0
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional interest
month, from 08/31/2004
SALLY L, FUHRER
TO BE RETAINED BY RECORDING
OFFICE
08/02/2004
DATE
Z