HomeMy WebLinkAbout04-5858UC-728 REV. 4-04
IN THE COURT OF COMMON PLEAS OF
CUMBERnAND 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 ss judgments are indexed.
DOCKET # ~
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
YOUR FLORAL CONNECTION
175 ~: LOUTHER ST
CARLISLE PA 17013
INC
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-15736 8
AD Number: 309128
CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
QTR/YR. DUE PAID/CREDIT BALANCE CONTRiBUTiON PAl[3 LATE. Oi$HONOREEI CHECK
4-03 WE 8.86 .00 8.86 .00
4-03 334.10 · 00 334.10 11.44 .00
1-04 WE 35.77 .00 35.77 .00
1-04 926.00 .00 926.00 ~-~. 4 ~ <~:, .00
I sub-total
1~304. 73 33.87 .00
Additional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) 1 4.0 0
compensation contributions at the rate determined by the Secretary of Revenue ~i~i~ii~!iii~!i!i~iiiiiii~!~ii~!:.!i..~.i..~.~!':~:~i:?~:.~!iii!iiiii!i~i!.~::~i.'?!!!::!~!i!i.i~!~iiiii!~ii?i~ii?!~i:?!!~!ii~i!ii~iiii~ii~ii~iii~ii?~i~.ii
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional Interest
The undersigned, Assistant Director, Office of Unemployment Compensation Tax Services, Department of Labor end Industry, certifies that the above unemployment compensation
contributions, interest and penalties ~'a due and payable by the above ne:mad 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 end p~'operty, both real and parson-I, Including after acquired property, of
the above nan, led 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
11/09/2004
DATE
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