HomeMy WebLinkAbout13-6804 IN THE COURT OF COMMON PLEAS OF DOCKET NUMBER:
CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED:
c�
C
TO THE PROTHONOTARY OF SAID COURT: ��� _ �a--v
Pursuant to Section 308.1 of the
Pennsylvania Unemployment •• s ''
y ADELE HARTZELL 5 -y{
Compensation Law, 43 P.S. § 788.1, 'Trading as"
this is a Certified Copy of Lien for ADELE M HARTZELL -'
unpaid unemployment compensation 1100 CLAREMONT RD
contributions, interest and penalties to ` CARLISLE, PA 17015
be entered of record by you and dal C7)0 pO PGFF
indexed as judgments are indexed. �1# 7a9a77
AD Number: 606454
CONTRIBUTIONS, INTEREST and /or LATE REPORT PENALTIES
QTRI REPORT CONTRIBUTION CONTRIBUTION PAYMENTSI BALANCE INTEREST PENALTY TOTAL
YEAR STATUS TYPE DUE CREDITS DUE DUE as of * DUE DUE
10/23/2013
1/2009 Filed Employer $29.47 $11.94 $17.53 $10.89 $25.00 $53.42
2/2009 Filed Employer $82.51 $33.44 $49.07 $28.87 $25.00 $102.94
3/2009 Filed Withholding $0.61 $0.00 $0.61 $0.61
3/2009 Filed Employer $94.30 $38.82 $55.48 $30.89 $25.00 $111.37
4/2009 Filed Employer $82.51 $33.44 $49.07 $25.15 $25.00 $99.22
1/2010 Filed Withholding $0.62 $0.00 $0.62 $0.62
1/2010 Filed Employer $73.82 $58.88 $14.94 $18.26 $25.00 $58.20
312010 Filed Employer j $75.061 $59.24 j $15.82 $15.32 $25.00 $56.14
3/2011 Filed Withholding $2.78 $0.001 $2.78 $0.48 $3.26
312011 Filed Employer $25.00 $25.00
TOTAL $510.78
*Unemployment compensation contributions bear interest at the rate of one - twelfth Grand Total $510.78
(1/12) of the annual rate determined by the Secretary of Revenue under Section 806 $21.50
of the Fiscal Code, 72 P.S. § 806, or at the rate of three quarters of one per centum Filing Fee(5)
(0.75 %), whichever is greater, for each month or fraction of a month from the
date they are due through the date they are paid. Additional interest will accrue on the
above balance of unpaid contributions until they are paid.
The undersigned, Assistant Director, Office of Unemployment Compensation Tax 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 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.
Department of Labor & Industry I Office of UC Tax Services 1 651 Boas Street I Harrisburg, PA 17121 -0750 1 www.dli.state.pa.us
Auxiliary aids and services are available upon request to individuals with disabilities.
UC - 728 REV 09 - 10 (page 2) Equal Opportunity Employer /Program
I
I
' 1'IIII
UC- 72820131023101924244002596806
Department of Labor & Industry Office of UC Tax Services 651 Boas Street Harrisburg, PA 17121 -0750 www.dli.state,12a.us
Auxiliary aids and services are available upon request to individuals with disabilities.
UC -728 REV o9-10 (page 3) Equal Opportunity Employer /Program