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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET # ()::. I..'J c (, (<-':"-J -r;-
DATE ENTERED:
CERTIFIED 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
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,
vs,
TARRIN A. CARPENTER
338 NORTH COLLEGE STREE'
CARLISLE, PA, 17013
Social Security Account Number: XXX-XX-9243
Job Center # 0996
Claim Week Overpaid
Endins Date Amount
02/05/00 $217,00
02/12/00 $217,00
02/19/00 $217,00
02/26/00 $217,00
03/04/00 $217.00
03/11/00 $217,00
03/18/00 $217,00
03125100 $217,00
04/01/00 $217,00
04/08/00 $217,00
04/15/00 $217 .00
04/22/00 $217,00
04/29/00 $217,00
Claim Week
Endlns Date
Claim Week
Ending Date
Overpaid
Amount
Claim Week
Endlns Date
Overpaid
Amount
Overpaid
Amount
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Plus Interest
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$0.00
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$900.05
Additonal interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 11/30/05. For the total amount due
on this lien, phone (717) 783-3140,
jt~"P~~"'i!m"'..
Minus Amount Repaid
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The unders1aned, Asstsunt Director, Bureau of Unemployment Compensatton Beneflts and Allowances, Department of Labor and Industry of the
Commonwealth of Pennsylvania, certifies that the above penon Is obUpted, pursuant to 43 P.S. S 874(a) to repay the above overpaid
unemployment compensation benefits received by him/her tolether with Interest thereon, charted per month or fraction of a month,
bellnnin. fifteen (15) days after the Notice of Overpayment was Issued and contlnutnl 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 .5. ! 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 penonal,
Includinl.tter~acqulred property, of the above person and attach thereto from the date of entry of this Certified Copy of Lien.
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December 16, 2005
Date
Chief of UI Claims Services
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