HomeMy WebLinkAbout06-7217
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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COMMONWEALTH OF PENNSVLV@lIA 2?
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
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TO'THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S. 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.
SHARRETTS & BUSH, INC.
T/A BUSH FOOD SALES
504 GRANT DRIVE
CAMP HILL, PA 17011
.
ACCOUNT NUMBER:
AD Number: 322626
CONTRIBUTION INTEREST DUE ON UNPAID PENAL TV DUE
QTRlYR. CONTRIBUTION AND I OR (5.8 reverse for
DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. explanation)
2-04 WE 19.27 19.27 .00 .00
2-04 127.01 .00 127.01 21.62 25.00
3-04 WE 8.64 .00 8.64 25.0
3-04 .00 .00 .00 1. 27 .0
1-05 WE 8.64 .00 8.64 .00
1-05 665.47 .00 665.47 83.14 67.41
2-05 WE 8.64 .00 8.64 25.0
2-05 .00 .00 .00 .96 .00
3-05 WE 8.64 .00 8.64 25.0
3-05 .00 .00 .00 .85 .00
4-05 WE 2.88 .00 2.88 25.0
4-05 .00 .00 .00 .24 .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. 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 12/31/2006.
829.92 108.08
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Additional Interest
192.41
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The undersigned, Assistant Director, Office of Unemployment Compensation Tax Services, Department of Labor and Industry, certifies that the above unemployment compensation
contributions, Interest and pena~les are due and payable by the above named defendant under the provisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section
3D8.1 of said Law, 43 P.S. !i 788.1, the above comrlbutlons, Imerest and penai1les 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 emry of this Certified Copy of Lien.
CP""r~+
SALLY L. PIATAK
12/06/2006
DATE
Assistant Director, Office of Unemployment Compensation Tax Services
TO BE RETAINED BY RECORDING OFFICE
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