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05-4955
UC-728 REV. 4-04 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA fa.. p ~ a/lf.CJb e.h.. If) 170- ~ )~f 9~1 CERTIFIED COpy OF LIEN DOCKET # 05- If 95'5' ~;J ,- DATE ENTERED 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. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND vs. . DANIEL L HATTER 3101 COLUMBIA AVENUE CAMP HILL PA 17011 l'---.:) = c:J <.'.J'1 (J) j,-i1 -v N N PENNSYLVANIA EMPLOYER ACCOUNT NUMBER: 21-19563 4 \J =i.: ~ :.:::I fl1 :!J r- -om :00 ~$~ ~'~l-n ~:.:\ -r>- ~n -< . N Q"\ AD Number: 313365 CONTRIBUTION INTEREST DUE ON UNPAID PENAL TV DUE aT RlYR. CONTRIBUTION AND I OR LA TE REPORT I DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DISHONDRED CHEC 1-04 WE 32.06 32.06 .00 .O( 1-04 3,955.10 481.78 3,473.32 225.86 .0 ( 2-04 WE 33.69 33.69 .00 .01 2-04 538.66 466.31 72.35 20.58 57.2. I sub-total 3.545.67 246.44 57.2 Additional interest is to be computed on the above balance of unpaid unemployment compensation contributions at the rate determined by the Secretary of Revenue under Section 806 of the Fiscal Code, 72 P.S. ~ 806, per month, or fraction of a month, from 0 9/ 3 0 / 2 0 0 5 Additional Interest The undersigned, Assistant Director, Office of Unemployment Compensation Tax Services, Department of Labor and Industry, certifies that the above unemployment compensation contributions, interest and penalties are due and payable by the above named defendant under the provisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section 308.1 of said Law, 43 P.S. ~ 788.1, the above contributions, interest and penalties are a lien upon the franchises and property, both real and personal, including after acquired propeny, of .. "'25';;;' '"' ~.." ..,...~ '"" ,.. · ~,.,,"'o ,,,,.., eo". "00. SALLY L. FUHRER 09/09/2005 DATE Assistant Director, Office of Unemployment Compensation Tax Services TO BE RETAINED BY RECORDING OFFICE <( ~~ 0.,. (/);..1 <(~ ~z o..m zo.. o - ~>- ~'i 0:> (,)0 ~(.) o ~ :> o (.) ~ Q) -fi Q) III -0 -\II O\..- 0 C Q) 0,- ......Q)- 0 \..- s;. .- \..- 0 ~-%o :;:>Q) -.p cl- \..-..0 ? C o . ..g?a; Q)E B 0 ...... .~ ~.s >z.c l/)? ~ ~ \..- \,.,..~ O)C "0 ? .- > (I) \..- 0 o..\II\"- 0.. 'C 0 .~ Q) 0 \..- U ,.:.._ (I) ?o 0 (I) 0 Q)fi~ Q)O...... CC - Q) -00- ?o -Q) \..- -0 fi Q)cQ) (l)0Q) os;. 0 fio~ E<C.- 00.. Q) - Q) oQ) > 0) - ...... 0.. C \..- <C.] 0 -0 \..- 0 (l)? \..-\IIQ) t Q) (I) ...... Q)\..-$ -0 .- 0) -U _ Q) C -oQ)o > (l)...... Q) \II "il~<O 'co 'co .- ?...... 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