HomeMy WebLinkAbout04-6134UC-728 REV, 4-04
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
1£7130
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: 21-21683 6
AD Number: 3 0 9 2 5 3
QTR/YR.
DUE
1-04 WE 75.69
1-04 4,771.51
2-04 WE 106.72
2-04 3,151.06
CONTRIBUTION
PAID/CREDIT
75.69
2,317.59
106.72
.00
DOCKET # O?-C/3~
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
CUSTOM MAINTENANCE SERVICES
INC
STE E
20 E BURD ST
SHIPPENSBURG PA 17257
BALANCE
.00
2,453.92
.00
3,151.06
INTEREST DUE ON UNPAID
CONTRIBUTION AND / OR
CONTRIBUT{ON PA{O LATE.
PENALTY DUE -
LATE REPORT/
DISHONORED CHECK
.00
100.46 250.00
r3~ C~. ~ · 00
.... :::25o.oo
sub-total
Additional interest is to be computed on the above balance of unpaid unemployment
compensation contributions et 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
5,604.98 143.18 500.00
Filing Fee(s) 14.0 0
Additional interest
The undersigned, Assistant D{rector, Office of Unemployment Compensation Tax Sewlces, Department of Labor and Industry, certiflee that the above unemployment compensation
contributions, interest and penalties are due and payable by the above named 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 and property, both real and personal, Including after acquired property, of
the above named defendant and attach thereto from the date of entry of this Certified Copy of Lien,
SALLY L. FUHRER
Assistant Director, Office of Unemployment Compens&tlon Tax Services
TO BE RETAINED BY
RECORDING OFFICE
11/17/2004
DATE
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