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HomeMy WebLinkAbout12-5763 IN THE COURT OF COMMON PLEAS OF DOCKET # 1 p- C- S-I l!I ~j' II CUMBERLAND COUNTY, PENNSYLVANIA PATE ENTERED: CERTIFIED COPY OF LIEN #~-i-~`+ ~E~~. ~ COMMONWEALTH OF PENNSYLVANIA tQ! 2 SEP ! 7 PM ! : QDEPARTMENT OF LABOR AND INDUSTRY TO THE PROTHONOTARY OF SAllb COURT; TO THE USE OF THE ~~~Ip E~`~.AND GM~YUNEMPLOYMENT COMPENSATION FUND Pursuant to 43 P.S. 5 3 874(a) and 788.1, i~h~~~aYLi1~11~i~, vs. Certified Copy of Lien for ov rpaid unemployment compensation benefits and int nest to be entered of JEFFERY B JACOX JR record by you and indexed as j dgments are indexed. 5 ALTOONA AVE APT A ENOLA PA 17025-2504 Social Security Account NumbeJr; XXX-XX-3806 Job Center # 0996 Claim Week Overpaid !aim Week Overpaid Claim Week Overpaid Claim Week Overpaid EndirK Date Amount ~ndirK Date Amount Endin! Hate Amount Endia{ Dale Amount 02/18/06 $102.00 02/25/06 $102.00 03/04/06 $102.00 03/11/06 $102.00 03/18/06. .$102.00 03/25/06 $102.00 04/01 /06 $102.00 04/15/06 $102.00 04/22/06 $102.00 04/29/06 $102.00 ~ 05/06/06 $102.00 05/13/06 $102.00 05/20/06 $102.00 05/27!06 $67.00 Additional interest will accrue on the balance due of ~w ~ the above overpaid unemplayment compensation Minus Amount Repaid SQ,00 benefits after 08/31/12. For the total amount due on p,,~~ji~~.~. - this lien, phone (717) 783-3140. Plus Interest $657.72 F irlg Fab $21.50 The undersigned, Assistant Director, Office of Unemployment Compensation Benefts (OUCB), Department of Labor and Industry of the Commonv+eakh of Pennsylvania, c lies that the above person is obligated, pursuant to 43 P.S. S 874(a) to repay the above overpaid unemployment compensation received by Mmlher 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 Revenue as provided by Section 806 of the Fiscal Cock. In accordance with 43 P.S. S 5 874(a) and 788.1, the above overpaid unempi ent compensatWn benefits and interest are a Ikn upon the franchises and property, both real and personal, includfng after-acquired pr perty, of the above person and attach thereto from the date of entry, of this Certified Copy of Lten. September 4, 202 Q'µ37,80 Assistant Director, Office of Unempl ent Compensation Benefits (OUCB) Date ~ ~,w ~ I~ v L;vm~9UN PLEAS OF COUNTY, PENNSYLVANIA' DOCKET # DATE ENTERED: C(3N1Mt7Nt~fEALTH aF PENtUSYLVANiA DEWARTMEtVT OF L TO THE t1SE~OF THE DUSTRY UNEMPLOYfv1ENT C014}PENSATION FUND VS. This is the Certified Copy of Prot~onot~Y of the Cau~t des n which has b~e~ f`, an the reverse ~ ~ wri th t h e nd#ice. t o€ Labor in~rsl of th e C:or~n~on e~~~rt of #~rt (1d~-dat~ fibs receipt of tt~ ~~sani~, by iaw t° ~ t.fic~n. ~~i~ nom, Corr uAt~, a ~s t your ~ wilt not occur if his ~ ~e necessary to ~ ~ ~ be tented ten Is s~tt~_ ~ . ~~et;ution by a Ca Y~ ~ # girls Check, C ~k or cERYt~IED coPY of r_iEN ut~D1=R check or ~a ~ tc~ tt~?e n Fund. PENN~YLV Ord, w~+Ch ANIA UNEl~LOYtaAENT S'lft~ wed t0 the ~ ~C Of the CO~P~NSATI~y LAW tae of Unempt~,~nt Co U! PeYment Service +ensa#ion 8eneftt~ 651 ~Oas Stre~;t, ~ F Moor M~~~9, {~ns~yania 17121-075p (717) 7$3^3146. AnY questions. concerning fhis ?ien . cen be directed to the ab©ve address. Auxiliary aids and services a re availa6/e uPQn request to individuals Equal Opportunity Employer/Program- ~ d~~abilities. Prothonotary TO BE RETAINED BY REC4R!)ING OFEIC~' BUR-837 REV 9-08 ,