HomeMy WebLinkAbout04-5862UC-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.
DOCKET.#
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
ALL TUNE & LUBE-ATL MOTOR
J L SIPES AUTOMOTIVE INC
ATTN CANDY DEARWECHTER
6506 ,CARLISLE PIKE
MECHANICSBURG PA 17050
MAX
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19470 0
AD Number: 309163
QTR/YR, CONTRIBUTION INTEREST DUE ON UNPAID PENALTY DUE -
CONTRiBUTiON AND / OR LATE REPORT/
DUE PAID/CREDIT BAlaNCE CONTRiBUTiON PAID LATE. DISHONORED CHECK
4-03 WE 6.05 6.05 .00 .00
4-03 141.85 141 · 85 .00 4.44 25.00
1-04 WE 22.05 22.05 .00 .00
1-04 2,015.23 154.19 1,861.04 46.94 203.73
2-04 WE 25.86 25.86 .00 .00
2-04 1,138.14 .00 1,138.14 15.43 116.40
sub-total
2~999.18 66.81 345.13
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 1 / 3 0 / 2 0 0 4
Filing Fee(s) 14.0 0
Additional Interest
The undersigned, As*,istent Director, Office of Unemployment Compensation Tax Services, Department of Labor and Industry, certifies that the above unemployment oompensatlon
contributions, interest and penaitiaa are due and payable by the above named defends, n{ under the provisions of the Pennsyivanla Unemployment Compensation Law. Pursuant to Section
3,08.1 of said Law, 43 P.S. § 788.1, the above contributions, interest and penalties are a lien upon the franchises and p~'operty, both real and personal, Including after acquired prope~'y, of
the above named defendant and attach thereto from the d~e of entry of this Certified Copy of Lien.
SALLY L. FUHRER
Assistant Director, Office of Unemployment Compensation Tax Services
TO BE RETAINED
RECORDING OFFICE
11/lO/2OO4
DATE
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