HomeMy WebLinkAbout04-5864
UC-728 REV. 4-04
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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CERTIFIED COPY OF LIEN
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S, f 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,
vs,
.
THESEN SPECIALTY
CONTRACTOR INC
217 PINE ROAD
MT HOLLY SPRINGS PA 17065
.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-18920 0
AD Number:
309159
CONTRIBUTION INTEREST DUE ON UNPAID PENAL TV DUE
QTRlYR. CONTRIBUTION AND I OR LATE REPORT I
DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DISHONORED CHECK
1-04 WE 80.00 80.00 .00 .00
1-04 7,354.55 6,830.57 523.98 12.22 .00
I sub-total 523.98 12.22 .00
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. 6806, per month, or fraction of a
month, from 11/ 3 0 / 2 0 0 4
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Additional Interest
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The undersigned, Assistant Director, Office of Unemployment Compensation Ta. 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 P,ennsylvanla Unemployment Compensation law. Pursuant to Section
3D8.1 of said law, 43 P.S. fi 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
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SALLY L. FUHRER
11/10/2004
DATE
Assistant Director, Office of Unemployment Compensation Ta. Services
TO BE RETAINED BY RECORDING OFFICE
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
to the use of the
UNEMPLOYMENT COMPENSATION FUND
Docket No, 04 5864 CIVIL TERM
v.
THESEN SPECIALTY CONTRACTOR INC
AUTHORITY TO SATISFY
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, November 22, 2006, the Conunonwealth of Pennsylvania,
Department of Labor and Industry, to the use of the Unemployment Compensation
Fund, Plaintiff in above action, through its Chief Counsel, by its Deputy
Chief Counsel for Employment Security, acknowledges having received of the
Defendant above named full payment and satisfaction of the above captioned
Lien, with the interest and costs thereon due it; and desire that
satisfaction be entered upon the records thereof,
AND you, the Prothonotary of said Court, upon receipt by you of your
costs, are hereby authorized and empowered, in the name and stead of the
Plaintiff, to enter full satisfaction upon the record of said Lien as fully
and effectually, to all intents and purposes, as we could were we present in
person to do so; and for so doing, this shall be your sufficient warrant of
authority,
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the
Department of Labor and Industry, Conunonwealth of Pennsylvania.
gR~~fJ:~
Sean F. Creegan
Deputy Chief Counsel
for Employment Security
Account No,: 21-18920
AD No.: 309159
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