HomeMy WebLinkAbout04-5518UC-728 REV, 4-04
IN THE COURT OF COMMON PLEAS OF
C U MB ER~.AN D COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S. § 788.1,
this is a Certified Copy of Lien for
unpaid unemployment compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19526 &
AD Number: 308847
QTR/YR. CONTRIBUTION
DUE PAiD/CREDIT
2-00 WE .00 .00
2-00 2,043.00 .00
3-00 WE .00 .00
3-00 241.62 .00
DOCKET #
DATEENTERED ~/~L.~
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
coast to coAsT .OT .L
[252 HARRISBURG PIKE
INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
BALANCE CONTRIBUTION PAID LATE.DISHONORED CHECK
· 00 .00
2,043.00 544.78 204.30
· 00 .00
241.62 59.60 .00
sub-total
Additional interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a
month, from 1 0 / 3 1 / 2 0 0 4
2,284.62 604.38 204.3£
Filing Fee(s) 14. o o
Additional Interest
'::?:?:.::.":;:%: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
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 prof3erty, both real ~nd personal, includinfl after acquired property, of
the above named defendant and attach thereto from the date of entry of this Certified Copy of Lien.
SALLY L. FUHRER
Assistant Director, Office of Unemployment Compensation Tax Services
TO BE RETAINED BY
RECORDING OFFICE
10/15/2004
DATE
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