HomeMy WebLinkAbout04-6476
DOCKET # M - (, 'I 7(" ~~
DATE ENTERED
IN THE COURT OF COMMON PLEAS OF
~y,r~E/~~,t!D J5~9NNTY" ~ENNSYL VANIA
rfl- 1036 Itlt-. 1-.5 91,81
CERTIFIED COPY OF LIEN
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. S S 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.
CARROLL S. EWELL JR.
139 LINCOLN STREET
CARLISLE, PA. 17013
Social Security Account Number: _3627
Job Center #: 0996
Claim Week Overpaid
Ending Date Amount
09-12-98 $185.00
09-26-98 $185.00
10-03-98 $185.00
10-10-98 $185.00
10-17-98 $185.00
10-24-98 $185.00
10-31-98 $185.00
11-01-98 $185.00
Claim Week
Endint DII.te
Overpaid
Amount
Claim Week
Endins Date
Overpaid
Amount
Claim Week
Endins Date
OVerpaid
Amount
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c.
Additional interest will accrue on the balance due ofthe
above overpaid unemployment compensation benefits
after 11-30-04 For the total amount due on this lien,
phone (717) 783-3140.
Plus Interest
Flltng Fee
$14.00
The undersigned, Assistant Director, Bureau of Unemployment Compensation Benefits and Allowances, Department of labor and Industry of the
Commonwealth of Pennsylvania, certifies that the above person is obligated. pursuant to 43 P.S. S 874(a) to repay the above overpaid unemployment
compensation benefits received by him/her together with interest thereon, charged per month or fraction of a month, beginning 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 Sectlon B06 of the Fisca\ Code. In accordance with 43 P.S. S 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, including after-acquired property, of the above person and attach thereto from
the date of entry of this. Certified Copy of Lien.
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/ I December 13. 2004
'-~ef of UI Claims Services Date
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