HomeMy WebLinkAbout02-3358UC-728 REV, 8-98
IN THE COURT OF COMMON PLEAS OF
CUM9ERLAND COUNTY, PENNSYLVANIA
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CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 o! 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.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
VASILIKI PETSINIS INDIVIDUALLY
T/A VICKIE'S FAMILY RESTAURANT
5872 MOLLY PITCHER HW¥
SHIPPENSBURG PA 17257
AND
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19648 7
AD Number: 295604,
3: CONTRIBUTION ~NTEREST DUE ON UNPAID PENALTY DUE -
Q R/YR. DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DISHONOREI3 CHECk
.4-00 ;WE .00 .00 .00 .00
4,-00 155.26 .00 155.26 17.47 25.00
1-01 WE .00 .00 .00 .00
1-01 81.31 .00 81.31 7. 32 25.00
sub-total 236.57 24,. 79 50. OO
Additional interest is to be computed on the above balance of unpaid unemployment 14 .0 0
compensation contributions at the rate determined by the Secretary oI Revenue
under Section 806 of the Fiscal Code, 72 P,S, § 806, per month, or fraction of a Additional Interest
month, from 06/30/2002
R. SCOT MIEDRICH
Director, Burea~f~Employer Tax Opesa~ns B E
RETAINED BY RECORDING OFFICE
06/25/2002
DATE
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