HomeMy WebLinkAbout14-6503 IN THE COURT OF COMMON PLEAS OF DOCKET# 0,iVI/TerM
CUMBERLAND 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. 6 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 MARCHEL A. COOK
record by you and indexed as judgments are indexed. 4A BOEING ROAD
NEW CUMBERLAND, PA 17070-2401
Social Security Number: XXX-XX-9064
Lancaster Service Center- 0996
Claim Week Overpaid Amount Claim Week Ending Over Amount Claim Week Overpaid Amount Claim Week Overpaid Amount
Ending Date Date Ending p
Date Ending Date
04/19/08 $382.00
04/26/08 $382.00
05/03/08 $382.00
05/10/08 $382.00 C
05/17/08 $382.00
05/24/08 $382.00 MOD -5
rn C:z
05/31/08 $382.00
06/07/08 $382.00
06/14/08 $382.00
06/21/08 $382.00 C-)
06/28/08 $382.00 C--
co
Additional interest will accrue on the balance due of the Total Overpaid Amount: $4,202.00
above overpaid unemployment compensation benefits Minus Amount Repaid: $968.00
after 10/31/14. For the total amount due on this lien, Principal Balance Due: $3,234.00
phone (717) 787-4621. Plus Interest: $931.08
Plus Dishonored Check Penalties: $0.00
Total Principal, Interest, and Penalties Due: $4,165.08
Plus Lien Filing Fee: $21.50
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. §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. 5 5 874(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,
al.So pl) P LFF
November 1, 2014
Director,Office of Unemployment Compensation Benefits Policy(OUCBP)
IN THE COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
DOCKET#
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR & INDUSTRY
TO THE USE OF THE NOTICE TO CLAIMANT OF ENTRY-OF LIEN
UNEMPLOYMENT COMPENSATION FUND
VS. This is the Certified Copy of Lien which has been filed with the
Prothonotary of the Court designated on the reverse side of this notice.
The Department of Labor & Industry of the Commonwealth of Pennsylvania,
at the expiration of ten (10) days after the receipt of this notice, is authorized
by law to execute upon this lien. This means that your property may be levied
upon, attached and sold to the extent necessary to satisfy this lien. Execution
will not occur if this lien is satisfied.
Payment should be made by a Cashier's Check, Certified Check or Money
Order made payable to the Pennsylvania Unemployment Compensation Fund.
Your Social Security Number should be affixed to the lower left corner of the
check or money order, which should be mailed to the address below:
CERTIFIED COPY OF LIEN UNDER
PENNSYLVANIA UNEMPLOYMENT Office of Unemployment Compensation Benefits Policy
COMPENSATION LAW Claimant Services
651 Boas Street, Fifth Floor
Harrisburg, Pennsylvania 17121-0750
717-787-4621
Any questions concerning this lien can be directed to the above address.
Auxiliary aids and services are available upon request to individuals with disabilities.
Equal Opportunity Employer/Program
TO BE RETAINED BY RECORDING OFFICE
Prothonotary BUR-$81 REV 10-12