HomeMy WebLinkAbout12-6775IN 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 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: X)OC-XX-8500
Job Center # 099b
Claim Week
Ending Date Overpald
Amount
12/17/05 $299.00
12/24/05 $299.00
12!31/05 $299.00
01/07/Ob $299.00
01/14/06 $299.00
01 /21 /06 $299.00
01!28106 $299.00
02!04!06 $299.00
02/11706 $299.00
DocKET # /a - (o'I ~5 C~ 1 v~ iTerm
DATE ENTERED:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
HAROLD J MENTZER
122 E LIBERTY AVE
CARLISLE PA 17013
CIa1m Waek
Ending Date Overpaid
Amount
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Claim Week Overpaid
'Tats Amount
Additional interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 09/28/12. For the total amount due on
this lien, phone (717) 783-3140.
Claim Weak Overpaid
Endb~g Date Amount
Total Overpaid Amount
Minus Amount Repaid
Principal Balance Due
Plus interest
Total Due
Filing Fee
$2,691.00
$0.00
$2,691.00
$1,493.32
$4,184.32
$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. 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 (1 S) 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 ss provided by Section 806 of the Fiscal Code. In accordance wRh 43 P.S. 6 S 874(a) and
T88.1, 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.
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October 1, 2012 12'~a8a (0(03
Assistant Director, Office of Unemployment tompensation Benefits (OUCB) Date
of
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