HomeMy WebLinkAbout14-3331 IN THE COURT OF COMMON PLEAS OF DOCKET# 14— i I,IVt Iev1
CHESTER COUNTY, PENNSYLVANIA DATE ENTERED:
CERTIFIED COPY OF LIEN
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE PROTHONOTARY OF SAID COURT: TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
Pursuant to 43 P.S. § § 874(a) and 788.1, this is a vs.
Certified Copy of Lien for overpaid unemployment
compensation benefits and interest to be entered of ANNA M. CHAPMAN
record by you and indexed as judgments are indexed. 208 CUMBERLAND DR
CAMP HILL, PA 17011-6672
Social Security Number: XXX-XX-1979
Lancaster UC Service Center
Claim Week Ending Overpaid amount Overpaid amount Overpaid amount Claim Week Ending Claim Week Ending Claim Week Ending
Date Date Date Date Overpaid amount
11/10/2007 $507.00
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Additional interest will accrue on the balance due of the Total Overpaid Amount: $507.00
above overpaid unemployment compensation benefits Minus Amount Repaid: $106.00
after 04/30/14. For the total amount due on this lien, Principal Balance Due: $401.00
phone (717) 787-4621. Plus Interest: $243.21
Plus Dishonored Check Penalties: $0.00
Total Principal, Interest, and Penalties Due: $644.21
Plus Lien Filing Fee: $36.00
The undersigned Director, Office of Unemployment Compensation Benefits Policy (OUCBP), 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 Section 806 of the Fiscal Code. In accordance with 43 P.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.
4.11.50 PD PtFF
May 1, 2014 bW
Director, Office of Unemployment Compensation Benefits Policy(OUCBP)
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 :
vs.
Anna M Chapman
208 Cumberland Dr
Camp Hill, PA 17011-6672
SSN: 1979
Docket Number 2014 3331
Praecipe To Amend Certified Copy Of Lien
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Please amend the caption of the Certified Copy of Lien filed to the above dot
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number to indicate that the lien is filed in Cumberland County. — •
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The lien as originally filed, incorrectly shows Chester as the county.
Respectfully submitted,
Sen F. Creegan
Office of the Chief Counsel
Commonwealth of Pennsylvania
Department of Labor & Industry
10th FL, Seventh and Forster Streets
Harrisburg, PA 17121
(717) 787-4186
Attorney Number - 29962
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