HomeMy WebLinkAbout06-6308
UC-728 REV. 1-06
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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CERTIFIED COpy OF LIEN
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TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P .S. t 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.
.
BOSSERMAN'S CARPET &
UPHOLSTERY CLEANING INC
2308 BUCKINGHAM AVE
MECHANICSBURG PA 17055
.
ACCOUNT NUMBER:
AD Number: 321356
OTRlYR. CONTRIBUTION
DUE PAID/CREDIT
1-05 WE 3.60 .00
1-05 384.48 .00
2-05 WE 2.70 .00
2-05 288.14 .00
3-05 WE 2.70 .00
3-05 188.10 .00
4-05 WE 2.70 .00
4-05 .00 .00
1-06 WE 2.70 .00
1-06 288.14 .00
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INTEREST DUE ON UNPAID PENAL TV DUE
CONTRIBUTION AND I OR Isee reverse for
BALANCE CONTRIBUTION PAID lATE. explanation)
3.60 .00
384.48 42.04 38.81
2.70 .00
288.14 27.87 29.0
2.70 .0
188.10 15.89 25.00
2.70 25.00
.00 .18 .00
2.70 .0
288.14 13.09 29.0
"WE" refers to withholding for employee contributions.
sub-total
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. 6 806, 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 10/3 1/2006 .
.....A~~lb~T.~li~r~$<>....................
Additional Interest
The undersigned, Assistant Director, Office of Unemployment Compensation Ta~ 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, fi 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 Cert~ied Copy of Lien.
CYtUlr~-t?#
SALLY L. PIATAK
Assistant Director, Office of Unemployment Compensation Ta~ Services
TO BE RETAINED BY RECORDING OFFICE
10/05/2006
DATE
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