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HomeMy WebLinkAbout04-4675IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CERTIFIED COPY OF LIEN TO THE PROTHONOTARY OF SAID COURT: Pursuant to 43 P.S. $ S 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: ~4750 Job Center #: 0996 DOCKET # ~ ~/- ~L *15 C~L/ -/~- DATE ENTERED COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND V~. EPIFANIO C. SANTIAGO 349 SOUTH SPORTING HILL ROAD MECHANICSBURG, PA 17050 Claim Week Overpaid Claim Week Overpaid Claim Week Overpaid Claim Week Overpaid Endtn~ Date Amount Endin~ Date Amount Endlna[ Date Amount Endtn~ Date Amount 06-26-99 $236.00 07-03-99 $236.00 07-10-99 $236.00 07-17-99 $236.00 07-24-99 $236.00 07-31-99 $236.00 08-07-99 $236.00 O8-14-99 $236.00 08-2t -98 $236.00 08-28-99 $236.00 09-04-99 $236.00 above overpaid unemployment compensation benefits after 08-31-04 For the total amount due on this lien, Minus Amount Repaid 0 Flllne Fee $14.00 The undersigned, A~sistant Director, Bureau of Unemployment CompensaUon Benefits and Allowances, Department of Labor and Industry of the Commonwealth of Pennsylvania, certifies that the above person is obllBated, pursuant to 43 P.S. ~ 874(a) to repay the above overpaid unemployment compensation benefits received by him/her toBether with interest thereon, charBed per month or fraction of a month, be~nninB fifteen (15) days af~cer the Notice of Overpayment was issued and continuinB 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. § § 874{a) and 788.1, the above overpaid unemployment compensation benefits and interest are a lien upon the franchises and property, both real and persona[, includin~ after-acquired property, of the above person and ac~ach thereto fi-om the date of entry of this Certified Copy of Lien. Se~Rembo~- ~'~ef of UI Claims Services Date w © u.O O~ n- O w uJ I,- Z iii 0 o ~ n EE Z <L~,ZU ~0~. o-rz ~-L~J ~o= rrH- wZ r~w Z~