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UC-72B REV. 1'-06
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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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.
.
ROBERT CLARK & JOHN HEFFNER
INDIVIDUALLY & AS PARTNERS TRADING
AS EAST GATE INDUSTRIES
273 MULBERRY DR #3
MECHANICSBURG PA 17055
.
ACCOUNT NUMBER:
AD Number:
321640
19.73
.00
16.91
353.28
CONTRIBUTION
PAID/CREDIT
19.73
.00
16.91
250.00
BALANCE
INTEREST DUE ON UNPAID
CONTRIBUTION AND I OR
CONTRIBUTION PAID LATE.
PENAL TV DUE
(see reverse for
explanation)
QTRlYR.
DUE
4-04 WE
4-04
1-05 WE
1-05
.00
.00
.00
103.28
.16
25.00
.00
.00
37.20
36.61
"WE" refers to withholding for employee contributions.
sub-total
'.A4l:1~~6~~~i~f~$'.....'-"....'.'.'-"'"
Additional Interest
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 B06 of the Fiscal Code, 72
P.S. 6806, 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 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 contribu1lons, interest and penalties are a ilen 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,
CYaIly~#
SALLY L. PIATAK
10/20/2006
DATE
Assistant Director, Office of Unemployment Compensation Tax Services
TO BE RETAINED BY RECORDING OFFICE
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