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IN THE COURT OF COMMO~~~~E ~' DOCKET NUMBER: I Ql l
CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED:
CERTIFIED COPY OF LIEN COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT: vs.
Pursuant to Section 308.1 of the •
Pennsylvania Unemployment ROBERT S CAUDILL
Compensation Law, 43 P.S. § 788.1, "Trading as"
this is a Certified Copy of Lien for R S CAUDILL CONTRACTING
unpaid unemployment compensation 423 W MAIN STREET
contributions, interest and penalties to ' MECHANICSBURG, PA 17055
be entered of record by you and
indexed as judgments are indexed.
AD Number: 602573
CONTRIBUTIONS, INTEREST and/or LATE REPORT PENAL TIES
QTR/
YEAR REPORT
STATUS CONTRIBUTION
TYPE CONTRIBUTION
DUE PAYMENTS/
CREDITS BALANCE
DUE INTEREST
DUE as of
10/11!2012 PENALTY
DUE TOTAL
DUE
3/2008 Assessed Withholding $1.33 $0.00 $1.33 $0.48 $1.81
312008 Assessed Employer $202.39 $0.00 $202.39 $72.96 $25.00 $300.35
4/2008 Assessed Withholding $1.85 $0.00 $1.85 $0.45 $2.30
4/2008 Assessed Employer $281.47 $0.00 $281.47 $94.95 $28.33 $404.75
3/2009 Assessed Withholding $1.33 $0.00 $1.33 $0.36 $1.69
3/2009 Assessed Empioyer $202.39 $0.00 $202.39 $54.72 $25.00 $282.11
4/2009 Assessed Withholding $1.85 $0.00 $1.85 $0.33 $2,18
4/2009 Assessed Employer $281.47 $0.00 $281.47 $69.63 $28.33 $379.43
1!2010 Assessed Withholding $2.08 $0.00 $2.08 $0.60 $2.68
1/2010 Assessed Employer $247.97 $0.00 $247.97 $55.80 $25.00 $328.77
2/2010 Assessed Withholding $4.28 $0.00 $4.28 $0.81 $5.09
2/2010 Assessed Employer $510.24 $0.00 $510.24 $103.41 $51.45 $665.10
3/2010 Assessed Withholding $4.85 $0.00 $4.85 $0.96 $5.81
3/2010 Assessed Employer $577.95 $0.00 $577.95 $103.92 $58.28 $740.15
4/2010 Assessed Withholding $18.97 $0.00 $18.97 $2.94 $21.91
4/2010 Assessed Employer $1,546.71 $0.00 $1,546.71 $243.60 $156.57 $1,946.88
1/2011 Assessed Withholding $2.19 $0.00 $2.19 $0.36 $2.55
1/2011 Assessed Employer $272.88 $0.00 $272.88 $36.90 $27.51 $337.29
3/2011 Assessed Withholding $0.76 $0.00 $0.76 $0.12 $0 gg
3/2011 Assessed Employer $94.78 $0.00 $94.78 $8.52 $25.00 $128.30
4/2011 Assessed Withholding $12.49 $0.00 $12.49 $0.81 $13.30
4/2011
TOTAL Assessed Employer $1,558.21 $0.00 $1,558.21 $105.21 $157.07 $1,820.49
$7,393.82
uepar~menc or labor & Industry ~ Office of UC Tax Services 1651 Boas Street I Harrisburg, PA 17121-0750 ~ www dli state oa
Auxiliary aids and services are available upon request to individuals with disabilities. Q`(~~ g' PI' `~O~
U C-728 REV 09-10 (page 2) Equal Opportunity Employer/Program ~~~ 11, (u3'a
~~s~a.~
OTHER PENALTIES
DATE T,PE AMOUNT PAYMENTS/ BALANCE
ASSESSED ASSESSED CREDITS DUE
06/26/2012 CIVIL $1,000.00 $0.00 $1,000.00
TOTAL
$1,000.00
'Unemployment compensation contributions bear interest at the rate ofone-twelfth Grand Total $8,393.82
(1/12) of the annual rate determined by the Secretary of Revenue under Section 806 $21.50
of the Fiscal Code, 72 P.S. § 806, or at the rate of three quarters of one per centum Filing Fee(S)
(0.75%), whichever is greater, for each month or fraction of a month from the
date they are due through the date they are paid. Additional interest will accrue on the
above balance of unpaid contributions until they are paid.
The undersigned, Assistant Director, Office of Unemployment Compensation Tax Services, Department of Labor and Industry, certifies that
the above unemployment compensation contributions, interest and penalties are due and payable by the above named defendant under the
provisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section 308.1 of said Law, 43 P.S. § 788.1, the above
contributions, interest and penalties are a lien upon the franchises and property, both real and personal, inGuding after acquired property, of
the above named defendant and attach thereto from the date of entry of this Certified Copy of Lien.
~~~ ff •+
SALLY L. PIATAK ~~I ti , , ,
~ III
Assistant Director, Office of Unemployment Compensation Tax Service UC-72820121012091835500982223774
Department of Labor & Industry I Office of UC Tax Services ~ 651 Boas Street I Harrisburg, PA 17121-0750 I www,dli. a pa us
Auxiliary aids and services are available upon request to individuals with disabilities.
UC-725 REV 09-10 (page 3) Equal Opportunity EmployerlProgram
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA : Docket Number 12 6627 CIVIL c%
DEPARTMENT OF LABOR AND INDUSTRY -°°
to the use of the M
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UNEMPLOYMENT COMPENSATION FUND ; =M m ;� 5
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V. 'C - -r R
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ROBERT S CAUDILL W '
"Trading as" '
R S CAUDILL CONTRACTING
423 W MAIN STREET
MECHANICSBURG, PA 17055 l`
i
AUTHORITY TO SATISFY
TO THE-PROTHONOTARY OF SAID COURT:
NOW, to wit, 01/10/2014, 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
-'Employment Security, 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
T thereof.
,QND 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 j
Deputy Chief Counsel
For Employment Security
AD Number: 602573