HomeMy WebLinkAbout14-1028 tz
IN THE COURT OF COMMON PLEAS OF DOCKET NUMBER. r
cs
CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED: c=
u Q Cn
TO THE PROTHONOTARY OF SAID COURT: ---- :.
Pursuant to Section 308.1 of the •
Pennsylvania Unemployment NORCAL MUTUAL INSURANCE
Compensation Law, 43 P.S. § 788.1, COMPANY (A Corporation)
this is a Certified Copy of Lien for 1700 BENT CREEK BLVD
unpaid unemployment compensation MECHANICSBURG, PA 17055
contributions, interest and penalties to '
be entered of record by you and
indexed as judgments are indexed.
AD Number: 617960
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
01/14/2014
1/2010 Filed Employer $5,572.05 $5,572.05
2/2010 Filed Employer $46.53 $46.53
3/2010 Filed Employer $56.40 $56.40
4/2010 Filed Employer $145.26 $145.26
1/2011 Filed Employer $27,660.73 $427.77 $27,232.96 $6,817.29 $34,050.25
2/2011 Filed Employer $724.23 $0.00 $724.23 $162.90 $887.13
3/2011 Filed Employer $940.23 $0.00 $940.23 $190.35 $1,130.58
4/2011 Filed Employer $11.14 $0.00 $11.14 $1.92 $13.06
1/2012 Filed Employer $30,935.92 $0.00 $30,935.92 $4,872.42 $35,808.34
2/2012 Filed Employer $354.15 $0.00 $354.15 $47.88 $402.03
3/2012 Filed Employer $394.73 $0.00 $394.73 $44.40 1 $439.13
1/2013 Filed Employer $22,744.35 $0.00 $22,744.35 $1,535.22 $24,279.57
2/2013 Filed Employer $36.08 $0.00 $36.08 $1.62 $37.70
3/2013 Filed Employer $268.00 $0.00 $268.00 $6.03 $274.03
TOTAL $103,142.06
*Unemployment compensation contributions bear interest at the rate of one - twelfth Grand Total $103,142.06
(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 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
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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- 72820140121092301426469693024
Department of Labor & Industry I Office of UC Tax Services 1 651 Boas Street Harrisburg, PA 17121 -0750 www.dli.state.pa.us
Auxiliary aids and services are available upon request to individuals with disabilities.
UC - 728 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.
NORCAL MUTUAL INSURANCE COMPANY (A
Corporation)
1700 BENT CREEK BLVD
MECHANICSBURG,
PA 17055
: Docket Number 141028CIV
AUTHORITY TO REMOVE LIEN
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, July 2, 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: 617960
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Sean F. Creegan
Deputy Chief Counsel
For Employment Security
SE I
ID -28520140702152309225025262294