HomeMy WebLinkAbout12-4702IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. 3 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: XXX-XX-0911
Job Center # 0996
Clain Week
Ending Date Overpaid
Amount
01/12/08 $4550
01/19/08 $457.00
03/15/08 $457.00
03122/08 $457.00
03/29/08 $457.00
04105/08 $457.00
04112!08 $457,00
04119108 $457.00
04/26/08 $457.00
05/03/08 $4S7.00
05/10/08 $457.00
05/17/08 $457.00
05/24/08 $457.00
05/31/08 $457.00
Clain Week
Ending Date Overpaid
Amount
06/07/08 $457.00
06/14/08 $457.00
06/21/08 $457.00
06/28/08 $457.00
07105/08 $457.00
DOCKET # wW- 1 7Qal-
DATE ENTERED:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
Cl) c.'
UNEMPLOYMENT COMPENSATION F*
VS. .
m
CLINTON FOSTER - o
9718 MOLLY PITCHER HWrY
SHIPPEWAURG
PA 1725i-9t
,
t
i
CUbeI
Ending
Additional interest will accrue on the balance due of Total Owerpatd Amount $8,68300
the above overpaid unemployment compensation Minus Amount Repaid $000
benefits after 06/30/12. For the total amount due on Principal balance Due $8,683
this lien, phone (717) 783-3140. Plus Interest $0.
Total Due $8,683.
Filing Fee $21. 0
The undersigned, Director, bureau of unemployment Compensation Benefits and Allowances, Department of Labor and I ttI of he
Commonwealth of Pennsylvania, certifies that the above person Is obligated, pursuant to 43 P.S. 8 874(a) to repay the above ove id
unemployment compensation benefits received by himllw together with interest thereon, charged per month or fradth of a mo h,
beginning fifteen (15) days after the Notice of overpayment was issued and continuing until the overpaid benefits are repaid. The int t
rate is determined by the secretary of Revom as provided by Section 806 of the Fiscal Code. In accordance with 43 P.S. S 5 874(a) d
788.1, the above overpaid unemployment compensation benefits and interest are a lien upon the franc tises and propat y, both real
personal, including after-acquired property, of the above person and attach thereto from the date of entry of this Certified Copy of Lien.
1-e? ,ice -e
July 2, 2012 J v
11
Director, Bureau of Unemployment Compensation Benefits and Allowances Date
IN THE COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
DOCKET #
DATE ENTERED
1
C NI ALTN OF iPEt ISYLVANIA
DEPARTMENT OF L, OR A INDUSTRY
TO THE U OF THE Nam go OF mm_ -as
UNEMPLOYMENT COMPENSATION FUND
vs. This is the Certified Copy of Lion which has b# *n filed with the
on the reverse gfi.1f notice;.
onotary of the Court
The DepartmoM of Usbor =-t- f the Cofnmon , .r of Pennsylvania,
*Wa It *ahorized
F
at the e of t6n { fif? ttm
be leveed
law to ex+em1 u ? ;#i . ' ? year ?
to .,l=xecution
al ch 1 and to xf nr ueesafy
v*t occur if this hen is . to nude -by a Ca"r's Ch k, C? or Money
Pmt shop .
€ fe p44" to ft"' ft, on Fund.
to #W 10`. 41*-; *W of the
cheek or monoy l to the ;
oMer,
CEJIT iED ELY OF MEN UNDER Compensation Benefit
PENNSYLVI#FA UNEMPLOYMENT Office of Un?loy nCOP NSATI LAIC ul Pam B
651 B ftW, Fitt Floor
Harris g Pams 'ania 17121-0750
(717) 783-31
{ Any questions concerning this lien can be directed to the above address.
Auxiliary aids and services are available upon request to individuals with disabilities.
Equal Opportunity Employer /Program ?,.
TO BE RETAINED BY RECORDING OF E
fProftmotary BUR-831 REV 9-08