HomeMy WebLinkAbout06-6063
UC-728 REV. 1-06
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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DATE ENt!=oBED
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CERTIFIED COPY OF LIEN
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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.
.
MAKING THE DOUGH INC
T/A DOMINO'S PIZZA
41 S ALYDAR BLVD
DILLSBURG PA 17019
.
ACCOUNT NUMBER:
AD Number:
321227
QTRlYR.
CONTRIBUTION
PAID/CREDIT
82.59
417.41
87.97
DUE
BALANCE
INTEREST DUE ON UNPAID
CONTRIBUTION AND I OR
CONTRIBUTION PAID LATE.
1-06 WE
1-06
1-06 CP
2-06 WE
2-06
82.59
2,363.40
.00
1,945.99
65.24
1,117.19
65.24
1,117.19
.00
.00
17.74
"WE" refers to withholding for employee contributions.
sub-total
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PENAL TV OUE
(see reverse for
explanation)
.00
.00
100.0
.00
118.2
Additional interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate of one-twelfth (1/12) of the annual 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, or at the rate of three quarters of one
per centum (0.75%) per month or fraction of a month, whichever is greater, from the
date they become due until paid, from 10/31/2006.
The undersigned, Assistant Director. Office of Unemployment Compensation Tax Services. Department of Labor and Induslry. 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. g 788.1. the above contributions. interest and penalties 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.
CYtUIr~+
SALLY L. PIATAK
10/02/2006
DATE
Assistant Director. Office of Unemployment Compensation Tax Services
TO BE RETAINED BY RECORDING OFFICE
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