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12-5429
IN THE COURT OF COMMON PLEAS OF DOCKET # r.~° ~ P 'f t: ,ate CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED: CERTIFIED COPY OF LIEN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE PROTHONOTARY OF SAID COURT: TO THE USE OF THE UNEMPLOYMENT COMPENSATI N~ Pursuant to 43 P.S. 5 5 874(a) and 788.1, this is a vs. Certified Copy of Lien for overpaid unemployment to compensation benefits and interest to be entered of JASON H. RUSSELL ~ record by you and indexed as judgments are indexed. 45 LIBERTY DRIVE l? MT HOLLY SPRINGS PA ~5 Social Security Account Number: )OCX-XX-7559 ~ r,' Job Center # 0996 Claim Week Overpaid Claim Week Overpaid Claim Week Overpaid Claim Week Overpaid Ending Date Amount Endin{ Date Amount Endir~ Date Amount Endin{ Date Amount 03/11/06 $382.00 Additional interest will accrue on the balance due of ' the above overpaid unemployment compensation Minus Amount Repaid $0.00 benefits after 07/31/12. For the total amount due on ~ ~3~2j(30 this lien, phone (717) 783-3140. Plus Interest $217.36 T~tat~de ..3~ Filing Fee $21.50 The undersigned, Assistant Director, Office of Unemployment Compensation Benefits (OUCB), 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 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 personal, including after-acquired property, of the above person and attach thereto from the date of entry of this Certffied Copy of lien. ¢~~5J f~~f~ i~ August 1, 2012 Assistant Director, Office of Unemployment Compensation Benefits (OUCB) Date "uGKET # ~.,r,v~ Y~VaNtq QgTE ENTERED NT pF LABOR & 1NpcvANrq uNEMPLOYO THE USE OF THE fISrRY AGENT COMPEIVSgTfON PU vS. ND r ~i ' rhrs ?S the Prothonota Certrfied Co rY of the Court py of Lien which desig~a on the r has been filed The De everse side of this with. the at the partment of notice: expiration often (•1Q& Industry of the Co dam ~r by law to execute mmonvtire of Pen up°~~ atfac upon this lien. the receipt of th' nsylvania wilt not and sold to means that ~ notice, is authorized occur if this lien is the necessa Your prQ sell rY to sat' maybe levied mod. this lien. Execution Payment .should CERTJFIE Qrcter made payable made by a Cash;Qr~s ©caPY our Social o the Pei ~ Check, Ce . PENNSYtV °fi LJEN v check or Security Number ANrA UNEMp~oY NDER move o~j- ,~pk~Ymed Cheer ar Money C~M~'ENSgTJON LAVU MENT Y Order Wired t0 the ~n~tian ~Und. whrch ~'rould ~~ed to th ~wer Cff~ of Unern a address belo ner of the U1 Payment Septoyment Consation w. 659 Boas rvrces Bene~r - ~'~rrisbur Street, Piffh Floor 9 Pennsylvania 979 7$3-3940 ~~-Q750 • ~ • Any G'uestiQns concer > nrn9 this lien can t~ directed to the a~ve Auxiliary aids and atldress. 1--~ Services are availa6/e upon E9uai Qi~pvrtu ~~ucst to Prothonotary nay ~~Pl4yer/Program mdividuais yvith disabilities. au~-as, T~ RETgJNED By RECORpJ REV g~08 NG OfiFJCE