HomeMy WebLinkAbout04-5859UC-728 REV. 4-04
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND 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: 21-1506B i
AD Number: 309126
DOCKET # D Y-
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
R C SKELLY INC
29 PINE TREE DRIVE
MECHANICSBURG PA 17~5~5
QTR/YR. CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE -
CONTRIBUTION AND / OR LATE REPORT/
DUE PAID/CREDIT BAL~,NCE CONTRIBUTION PAID LATE. DISHONORED CHECK
1--04 WE 222.05 222.05 .00 .00
1-04 16,986.25 9,943.87 7,042.38 212.99 .00
2-04 WE 198.70 .00 198.70 .00
2-04 5 , 394.62 . 00 5 , 394 . 62 74.57 · 00
I sub-total 0
12 ~ 635.7 287 . 56 .00
14.00
Additional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s)
contributions at the rate determined by the Secretary of Revenue
compensation
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional Interest
month, from 11/30/2004
The undersigned, Assistant Director, Office of Unemployment Compensation Tax Services, Department of Labor and Industry, certifies that the above unemployment compensation
contributions, Intere-,t and penalties ere due and payable by the above named defendant under the provisions of the Penn~Jlvanla Unemployment Compans-tlon 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, Including after acquired property, of
t~le above named defendant and affach thereto from the date of entry of this Certified Copy of Lien.
SALLY L, FUHRER
Assistant Director, Office of Unemploymant Compene~tion Tax Se~lces
RECORDING OFFICE
1/o9/2oo4
DATE
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