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r'UMBERLAND COUNTY
IN THE COURT OF COMMON PLEAS OF DOCKET NUMBER PENNSYLVANIA
CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED: 1 r +' 1 _ ^ � u I
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the •
Pennsylvania Unemployment DATATEL TECHNICAL SERVICES INC
Compensation Law, 43 P.S. § 788.1, 17 W KELLER ST
this is a Certified Copy of Lien for MECHANICSBURG, PA 17055
unpaid unemployment compensation
contributions, interest and penalties to •
be entered of record by you and
indexed as judgments are indexed.
AD Number: 611257
CONTRIBUTIONS, INTEREST and /or LATE REPORT PENALTIES
QTR/ REPORT CONTRIBUTION CONTRIBUTION PAYMENTS/ BALANCE INTEREST PENALTY TOTAL
YEAR STATUS TYPE DUE CREDITS DUE DUE as of DUE DUE
01/08/2014
3/2010 Assessed Withholding $21.60 $0.00 $21.60 $6.24 $27.84
3/2010 Assessed Employer $2,575.04 $0.00 $2,575.04 $753.09 $250.00 $3,578.13
4/2010 Assessed Withholding $21.60 $0.00 $21.60 $5.76 $27.36
4/2010 Assessed Employer $2,575.04 $0.00 $2,575.04 $695.16 $250.00 $3,520.20
112011 Assessed Withholding $21.60 $0.00 $21.60 $5.28 $26.88
112011 Assessed Employer $1,922.56 $0.00 $1,922.56 $475.86 $194.42 $2,592.84
2/2011 Assessed Withholding $21.60 $0.00 $21.60 $4.80 $26.40
2/2011 Assessed Employer $1,922.56 $0.00 $1,922.56 $432.60 $194.42 $2,549.58
3/2011 Assessed Withholding $21.60 $0.00 $21.60 $4.32 $25.92
3/2011 Assessed Employer $1,922.56 $0.00 $1,922.56 $389.34 $194.42 $2,506.32
4/2011 Assessed Withholding $21.60 $0.00 $21.60 $3.84 $25.44
4/2011 Assessed Employer $1,922.56 $0.00 $1,922.56 $346.08 $194.42 $2,463.06
1/2012 Assessed Withholding $21.60 $0.00 $21.60 $3.36 $24.96
1/2012 Assessed Employer $2,629.04 $0.00 $2,629.04 $414.12 $250.00 $3,293.16
TOTAL $20,688.09
"Unemployment compensation contributions bear interest at the rate of one - twelfth Grand Total $20 ,688.09
(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(s)
(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.
Department of Labor & Industry I Office of UC Tax Services 1 651 Boas Street I Harrisburg, PA 17121 -0750 1 www dli state oa us
Auxiliary aids and services are available upon request to individuals with disabilities.
UC -728 REV 09 - 10 (page 2) Equal Opportunity Employer /Program G
It asv
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.
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UC 72820140108155315979840550569
Department of Labor & Industry Office of UC Tax Services 651 Boas Street Harrisburg, PA 17121 -0750 www.d1i,state,pa.us
Auxiliary aids and services are available upon request to individuals with disabilities.
UC REV 09 - 10 (page 3) Equal Opportunity Employer /Program
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
V.
DATATEL TECHNICAL SERVICES INC
17 W KELLER ST
MECHANICSBURG,
PA 17055
TO THE PROTHONOTARY OF SAID COURT:
: Docket Number 14669CIV
AUTHORITY TO REMOVE LIEN
NOW, to wit, March 19, 2014, the Commonwealth 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, desires that the above captioned Lien be removed from record.
AND you, the Prothonotary of said Court, are hereby authorized and empowered, in the name and stead of the
Plaintiff, to remove said Lien from the record 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,
Commonwealth of Pennsylvania.
AD Number: 611257
Sean•F. Creegan
Deputy Chief Counsel
For Employment Security
II I I 16417,h4
ID- 28520140319133216145955765415
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