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PROTHONOTAR
This 1AR 24 PM 2: 05
CUMBERLAND Co
IN THE COURT OF COMMON PLEA sh'U$YLVA
CUMBERLAND COUNTY, PENNSYLVANIA
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.
AD Number: 620121
CONTRIBUTIONS, INTEREST and /or LATE REPORT PENALTIES
DOCKET NUMBER: )4...- I LP LP )
DATE ENTERED:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
•
•
vs.
JOHNNIES RESTAURANT
15861 CUMBERLAND HIGHWAY
NEWBURG, PA 17240
QTR/
YEAR
REPORT
STATUS
CONTRIBUTION
TYPE
CONTRIBUTION
DUE
PAYMENTS/
CREDITS
BALANCE
DUE
INTEREST
DUE as of ^
02/11/2014
PENALTY
DUE
TOTAL
DUE
4/2010
Filed
Employer
$1,328.82
$515:93
$812.89
'$225.70
$1,038.59
$1,410.73
1/2011
Filed
Employer
$1,787.56
$663.45
$1,124.11
$286.62
2/2011
Filed
Withholding
$16.58
$0.00
$16.58
$3.72
$20.30
2/2011
Filed
Employer
$2,044.21
$775.32
$1,268.89
$295.12
$1,564.01
TOTAL
$4,033.63
OTHER PENALTIES
DATE
ASSESSED
TYPE
AMOUNT
ASSESSED
PAYMENTS/
CREDITS
BALANCE
DUE
01/18/2012
CIVIL
$1,000.00
$0.00
$1,000.00
TOTAL
$1,000.00
"Unemployment compensation contributions bear interest at the rate of one - twelfth
(1/12) of the annual rate determined by the Secretary of Revenue under Section 806
of the Fiscal Code, 72 P.S. § 806, or at the rate of three quarters of one per centum
(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.
Grand Total
Filing Fee(s)
$5,033.63
$21.50
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 peyable 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 arid 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 I AwYV. lik a.t .us
a A- a
2b33L1
Auxiliary aids and services are available upon request to individuals with disabilities,
UC -728 REV 09 -10 (page 2) Equal Opportunity Employer /Program
SALLY L. PfATAK SIR
'III
Assistant Director, Office of Unemployment Compensation Tax Service UC- 72820140212094530639150611424
Department of Labor & Industry I Office of UC Tax Services 1 651 Boas Street I Harrisburg, PA 17121 -0750 1 www.dli.sta 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