HomeMy WebLinkAbout04-5974IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DATE ENTERED
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. ! l 874(a) and 788.1, this is a
Certified Copy of Lien for overpaid unemployment
compensation benefits and interest to be entered
of record by you and indexed as judgments are
indexed.
Social Security Account Number: ~0294
Job Center #: 0991
Claim Week Ovmpaid
Ending Date Amount
01-25-97 $199.00
02-15-97 $199.00
02-22-97 $199.00
04-.05-97 $199.00
05-24-97 $199.00
05-31-97 $199.00
06-07-97 $199,00
06-14-97 $199.00
06-21-97 $199.00
06-28-97 $199.00
07-05-97 $199.00
07-12-97 $199.00
07-19-97 $199.00
Claim Week Overpaid
Ending Date Amount
07-26-97 $199.00
08.02-97 $199.00
08-09-97 $199.00
04-18-98 S149.00
04-25-98 $149.00
05-02-98 $149.00
03-10.01 S166.00
Additional interest will accrue on the balance due of the
above overpaid unemployment compensation benefits
after 10-31-O4 For the total amount due on this lien,
phone (717) 783-3140.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
RICHARD A. BOOKMAN
2500 LISBURN ROAD
C~J~P HILL, PA 17011
Claim Week Overpaid
Ending Date Amount
Claim Week Overpaid
Ending Date Amount
;,,:: ~ ~
....... ......................................................................................................................
Filin8 Fee $14.00
The undersigned, Assistant Director, Bureau of Unemployment Compensation Benefits and Atl.owances, Department of Labor and Industry of the
Cornmonweatth of Pennsylvania, certifies that the above person is obligated, pursuant to 43 P.S. § 874(a) to repay the above overpaid unemployment
compensation benefits received by him/her together with interest thereon, charged per month or fi'action of a month, be~nnin$ fifteen (15) days after the
Notice of Overpayment was issued and continuing until the overpaid benefits are repaid. The interest rate is determined by the Secretary of Revenue as
provided by Section 806 of the Fiscal Code. In accordance with 43 P.S. § § 874(a) and 788.1, the above overpaid unemployment compensation benefits and
interest are a lien upon the franchises and property, both real and personal, inctudin8 after-acquired property, of the above person and attach thereto fTom
the date of entry of this Certified Copy of Lien.
November 15, 2004
"'~°fi- I~'ef of UI Claims Services Date
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