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IN THE COURT OF COIfA DOCKET NUMBER:
CUMBERLAND COUNTY, '�i41�11A DATE ENTERED:
CERTIFIED COPY OF LIEN COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT: vs.
Pursuant to Section 308.1 of the
Pennsylvania Unemployment YE OLDE ALE HOUSE INC
Compensation Law, 43 P.S. § 788.1, 5450 WESTBURY DR
this is a Certified Copy of Lien for ENOLA, PA 17025
unpaid unemployment compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
AD Number: 620909
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
02/20/2014
1/2011 Filed Withholding $12.76 $12.76
1/2011 Filed Employer $2,392.41 $560.36 $1,832.05 $617.72 $245.13 $2,694.90
2/2011 Filed Withholding $8.06 $8.06
2/2011 Filed Employer $1,313.27 $0.00 $1,313.27 $315.20 $135.52 $1,763.99
3/2011 Filed Withholding $6.21 $6.21
3/2011 Filed Employer $620.31 $0.00 $620.31 $134.85 $65.62 $820.78
4/2011 Filed Withholding $6.22 $6.22
4/2011 Filed I Employer 1 1,161.28 $783.91 1 $377.371 $73.581 $41.541 $492.49
TOTAL $5,805.41
*Unemployment compensation contributions bear interest at the rate of one - twelfth Grand Total $5,805.41
(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.
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 01 - 14 (page 2) Equal Opportunity Employer /Program
4 SALLY g L P � PIATA / K
Assistant Director, Office of Unemployment Compensation Tax Service UC- 72820140303123217477724302131
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Department of Labor & Industry Office of UC Tax Services 651 Boas Street Harrisburg, PA 17121 -0750 I www.dli.state.pa.us
Auxiliary aids and services are available upon request to individuals with disabilities.
UC -728 REV 01 - 14 (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
u
YE OLDE ALE HOUSE INC
5450 WESTBURY DR
ENOLA, PA 17025
TO THE PROTHONOTARY OF SAID COURT:
Docket Number 14 2025
AUTHORITY TOSAT18Y
NOW, to wit, 06/16/2014, the Commonwealth of Pennoylvmnia. Department of Labor and |ndumtry, to the use of the
Unemployment Compensation Fund, Plaintiff in above action, through its Chief Counsel, by its Deputy Chief Counsel for
Employment Security, acknowledges having received of the Defendant above named full payment and satisfaction of the
above captioned Lien, with the interest and costs thereon due it; and desire that satisfaction be entered upon the records
thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your costs, are hereby authorized and empowered,hndhe
name and stead of the P|minddf, to enter full satisfaction upon the record of said Lien as fully and efectua|ly, to all intents
and purposea, as we could were we present in person to do so; and for so doing, this shall be your sufficient warrant of
IN TESTIMONY WHEREOF, there is hereunto affixed the Seaof the Department of Labor and Industry, Commonwealth
of Pennsylvania.
AD Number: 620909
Sean F. Creegan
Deputy Chief Counsel
For Employment Security