HomeMy WebLinkAbout12-6451IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. § 5 874(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-9758
Job Center #/ 0996
Claim Week
Ending Date Overpaid
Amount
11/12/05 5246.00
11/19/05 5246.00
11/26/05 $246.00
12/03/05 $246.00
12/10/05 $246,00
12!17/05 $246.00
12/24/05 $246,00
12131/05 $246.00
01/07/06 $246.00
DOCKET # Ic~- (~y;~( ~l V ~~ ~c°t/-t
DATE ENTERED:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION ~t~ND'"'-'
vs. -
.:;- :-~
_ _
LISA E CLEMM •--
654 SEARS RUN DR ~'~
MECHANICSBURG PA 1705i;T ~._
r-,
Ciaim Week
Ending Date Overpaid
Amount
i
1
R
Claim Week Overpaid
Ending Date Amount
Additional interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 09/28112. 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
Pluslnterest
Total Due
Filing Fee
$2,214.00
$20.00
$2,194.00
$1,320.35
$3,514.35
$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. § 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. § § 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.
~ ar. 5'o PQ P~~F
/~~ October 1, 2012 ~ ~ ~39 ~d
Assistant Director, Office of Unemployment Compensation Benefits (OUCB) Date ~ D~Bo20r`0
1
0
,.r
m
G
7J
W
W
x
m
0
~ ~ ~
.~'1. r-' 1Y' .
~~C~'.
~~'e'`t
~2 ~~.~
t (17 -r~t
Tf `~,
1 ~ ~ '~
O ~ 4
~ C.~ '',
Tr;
G-
;~ ,
n
r= ~~ 'S"1
~.
-T' `J
,,
~`;
r~.
.,..w;
_.~ <
~K,.
(i1 W ~ U't CD ~. --s _ t~° CMG' ._-: ?!~ O ~ y'1} ~..-~_ !~
C[' ~ ~ ~
C~ tp ~ ,~
°- ~ r~
n uroi (~ ~ ~ N ~ ~
~
~ ~; ~ ,, ~ ~ X ~.~ ~ ~~,
~ ~- C) ~~ ~ CR CD ~ '~ 'Ty ~ ~' ~ ~"
~ ~ 4~ ~ ~ +__. 1P ~, :G ~,
' _
u
to r -° CD ~~ ~ `~` ~C- ~'~ ~= ~ ~~ ,
t
~-'{ ~ ~ t~t~~~l t!A ~'4 ~ ~~ ~r ~ lot ~ V' (, i.~
-+
V
V
+
'
F, ~ ~"
~ '~ ~ ~ ~
~ `"
..~
«y r~~+
ey
1Y
-~
~
~ ~
.r~" fn
~
~
~
~
o
~ ~ v
a Q..
~ --5 C,a;
~ `~ `'
-~, :~. ,~ e~;
_..
r=r ~f `. ~- F~..
ro ..
`['f ~
't1
n
m