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UC-728 REV. 6-98
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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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:
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.
.
vs.
D & K QUALITY HOMES INC
336 CHARLES RD
MECHANICSBURG PA 17055
.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19692 4
AD Number:
290167
QTRNR. CONTRIBUTION
DUE PAID/CREDIT
3-98 WE .00 .00
3-98 727.50 .00
4-98 WE ,00 .00
4-98 48.50 .00
1-99 WE .00 .00
1-99 765.14 .00
1-00 WE .00 .00
1-00 1,001.78 .00
INTEREST DUE ON UNPAID
CONTRIBUTION AND! OR
BALANCE CONTRIBUTION PAID LATE.
PENAL TV DUE -
LATE REPORT!
DISHONORED CHEC
.00
727.50 152.78
.00
48.50 9.17
.00
765.14 131,35
.00
1,001.78 98.51
. 0 (
72.7 !
.0 (
25.01
.01
76.5
.0
100.1
sub-total
Additional interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S. ~ 806, per month, or fraction of a
month, from 06/30/2001
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Additional Interest
The undersigned, Director, Bureau of Employer Tax Operations, Department of Labor and Industry, certifies that the above unemployment compensation contributions, Interest and penalties
are due and payabie by the above named defendant under the provisions of the Pennsylvania Unemployment Compensation Law. f'ursuant to Section 30B.1 of said Law, 43 P,S, g 7BB.1,
the above contributions, Interest and penaities 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.
RJd'lh~
R. SCOT MIEDRICH
06/11/2001
DATE
Assistant Director, Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING OFFICE
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