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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET # 0$. 3("~'1
DATE ENTERED
CE~TIFIED COPY OF LIEN
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TO THE PROTHONOTARY OF SAID COURT:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
Pursuant to 43 P.S. S S 874(a) and 788.1, this is a
Certified Copy of Lien for overpaid unemployment
compensation benefits and interest to be entered
of record by you and indexed as judgments are
indexed.
TIMOTHY C MYERS
1953 FRY LOOP AVE
CARLISLE, PA 17013
Social Security Account Number: _1006
Job Center #: 0996
Claim Week OWrpaid
Ending Date Amount
07-06-02 $438.00
07-13-02 $438.00
07-20-02 $438.00
07-27-02 $438.00
08-03-02 $438.00
08-10-02 $438.00
08-17-02 $438.00
08-24-02 $438.00
08-31-02 $430.00
09-07-02 $430.00
09-14-02 $7.00
Claim Week
Ending Date
Overpaid
Amount
Claim Week
Ending Date
Overpaid
Amount
Claim Week
Endlnl Oate
~jd
Amount
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Additional interest will accrue on the balance due of the
above overpaid unemployment compensation benefits
after 06-30-2005 For the total amount due on this
lien, phone (717) 783.3140.
Filing Fee
$14.00
The undersigned, Assistant Director} Bureau of Unemployment Compensation Benefits and Allowances, Department of labor and Industry of the
Commonwealth of Pennsylvania, certifies that the above person is obligated, pursuant to 43 P .5. 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!i 874(a) and 788.1, the above overpaid unemployment compensation benefits and
interest are a Hen 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.
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