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12-3280
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CERTIFIED COPY OF LIEN TO THE PROTHONOTARY OF SAID COURT: Pursuant to 43 P.S. 5 5 874(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 indelxed as judgments are indexed. Social Security Account Number: XXX-XX-2806 Job Center # 0996 Claim Week Ending Date Overpaid Amount 02/04/06 $254.60 02/11/05 $254.00 02/18/05 $254.00 02/25/11 $254.00 03/04/05 $254.00 03/11/05 $254.00 DOCKET # /a _ g 2gp Givi ! L-rpf DATE ENTERED: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND VS. DESSALEGN N GIZAW 1 W PENN ST APT 411 CARLISLE, PA 17013-2355 Claim Week Ending Date Overpaid Amount moo rT3 . M _ _ MG --r3r CIO -"14- C CD 1 V t C- Claim Week Overpaid Ending Date Amount Additional interest will accrue on the balance due of the above overpaid 'unemployment compensation benefits after 04/30/12. For the total amount due on this lien, phone (717) 783-3140. Claim Week Overpaid Ending Date Amount Total Overpaid Amount Minus Amount Repaid Principal Balance Due Plus Interest Total Due Filing Fee $1,524.00 $50.00 $1,474.00 $840.31 $2,314.31 $21.50 The undersigned, Director, Bureau of Unemployment Compensation Benefits and Allowances, Department of Labor and Industry of the Commonwealth of Pennsylvania, certifies that the above person is obligated, pursuant to 43 P.S. 5 874(a) to repay the above overpaid unemployment compensation benefits received by him/her together with interest thereon, charged per month or fraction of a month, beginning fifteen (15) days after the Notice of Overpayment was issued and continuing 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. 5 5 874(a) and 788.1, the above overpaid unemployment compensation benefits and interest are a lien upon the franchises and property, both real and personal, including after-acquired property, of the above person and attach thereto from the date of entry of this Certified Copy of Lien. el _ ? ov. so PA PLFP C'N y3059 May 1, 2012 Q4' .27 SC4Y Director, Bureau of Unemployment Compensation Benefits and Allowances Date Q Oz U) J Q} wU) J Z az ow cl. o? o0U 0 U w H Z w Y U O 0 D w w H z w w Q D a) 4- T "O O o 5 0 0 c «- c N '> . 3 + ' 0 Q) c D 4- 0 LL O U > 0 ?' O X C L- L1J 0 0 O o -a c c ? ca c ? L U? U m c o o o O c o 0? i o a c o L F+ W c: 4- co w W •C .? E O Y 0 0 0 - U U1 +r T O - E r r U 4 O "C7 0 U x ? a U s o 3 ? a) L ? ? . a i c ? Ua -Ca)c?0 0c Ec O L _ J c _ U) c L L 0 y-0 -a a= (6 -0 U D c c cn f- x O -c c 0 v D o U) a a cn O c? o a? c -? c n 0 L (1 O U _0 06 U) o 0 `n U :3 a? o :3 O o U -0 22 C: m c 0 o O m E O Z - -C 0 0 c 0 U o 0 ? o ?-0 4= -p O 5 m a) Q) L E ca m L c a CO 0 Ica ?.L?UU (nc.cE O to c U1 X O O O a) '' ca f., O 0 0 c E ._ 0 0 O 3 O L U) Y 0 (D O c a) F- d F- m m c 3 d® >- U 0 Q z ZQ F- U- Un >- 0 0 UnZLLI ?-- z06-U) w W LL. z a0Da O M LL J?0ui U < 1: z LIJ - w Z: 0 OH O of a Ow w .00 z m c UU co c 0 0 4- Ll c ~ O ? Q. N E O ?- ? U o c U- 'c E 0 U LL cn C E O N O dam' C Un co D N ?M o E o cD a) m co M n" `o cu o?Zo =r wz Z z0 w Q J m z LL.w0 o= Q °- Qz w LL.c O ww U a. U7 J; 7 m o O 70 ? o 4 U O >. o a °w U ? c a -C C) 4- ro m T Ln Z QW i U 0 °c U b N Z= ? X O• Q c Q LLI cy i.L ll. 0 (D z 0 O u w m 0 w z w UY w m O W; rn cc. r, T- D co T O c O s 0 cL IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA Docket No. 12 3280 DEPARTMENT OF LABOR AND INDUSTRY to the use of the UNEMPLOYMENT COMPENSATION FUND V. DESSALEGN N GIZAW Q"`' 1 W PENN STREET APT 411 �'�© 1 CARLISLE PA 17013 _X r� > CS CD ID: 2806 ..� 1 AUTHORITY TO SATISFY TO THE PROTHONOTARY OF SAID COURT: NOW, to wit, June 11, 2013, the Commonwealth of Pennsylvania, Department of Labor and Industry, to the use of the Unemployment Compensation Fund, Plaintiff in above action, through its Chief Counsel, by its Deputy Chief Counsel for Unemployment Compensation, acknowledges having received of the Defendant above named full payment and satisfaction of the above captioned Lien, with the interest and costs thereon due it; and desire that satisfaction be entered upon the records thereof. AND you, the Prothonotary of said Court, upon receipt by you of your costs, are hereby authorized and empowered, in the name and stead of the Plaintiff, to enter full satisfaction upon the record of said Lien as fully and effectually, to all intents and purposes, as we could were we present in person to do so; and for so doing, this shall be your sufficient warrant of authority. IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the Department of Labor and Industry, Commonwealth of Pennsylvania. Sean F. Creegan Deputy Chief Counsel for Unemployment Compensation 'q0' ao Gws�i