HomeMy WebLinkAbout1391 v + }
. STATE OF FLORIDA ~ ~ ~ ~
~
FOC FORM UCT - tS DEPARTMENT OF COMMERCE ~
IREV. 7/73)
_ UIVISlON O~ EMPLOYMENT SECURITY
~~~9`~5 TALLAHASSEE 32304 ~~~o„n~ no. 218257
Lien 1Vo. 5-3420
- NOTICE OF TAX LIEN
Pursuant to the provisions of Section 443.15 (3) (a), Elorida titatutes, knov?n as the Florida Un-
employment Compensation laa, noticc is hereby given thac there have b~.cn asscssed, pursuant to che
provisions o[ said law~ against JOhri Wi111~Ir1 H811
1211 Soltman Avenue
Fort Pierce, Florida 33450 _
an "employer" liable for the payment of cuncributions to" thr l;ncmplo~•ment Comprnsation Fund of
Florida, parsuant to thc pro~isions of said la~, thc sum of 5-~~5.08 co~•ering thc following
concributions, interest and penalties, which a[ce~ drmanJ fo~ pay~mcnt chrreuf rrmain unpaid, and
that by virtue of the above mentioned laa• thc amounc o[ said contributions (caxrs), cogecher aith
penalties, incerest, and costs that may accrur in adJition thc-retv, conscicutr a lirn in ta~•or of Stat~ of ~
Florida Deparlmeni of Commereeupon che titlc to and interesc, ~~hcchrr 1rRal ur eyuicable, in anj~ rca) ~
propercy, chatcels real, or persona) property of said cmplo~~er.
Petiods for which contributions, ir.tcrest, and pen.~lti« h:i~•c brrn ~15St~St~, ar~d tfir amounts
thereof. am as folloas:
a
,
~
INTEREST THROUGH .
' PERIOD CONTRIBUTIONS PENAlT1E5 j
£
. ~
' i
3rd Quarter 19T3 2? 18 2 31 ;
4th Quarter 1973 35 80 2 51 `
lst Quarter 1974 46 07 2 53
2nd Quarter 1974 8 35 33 1
i
4
- I , ~
~ ~ . .
; ~ ~
~
ToT"~ 117 40 7 68
WITIVESS TNE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF COMMERCE
and tl~e 6and of the Director oI lhe Divisioa oE Employ~nent Security ih~reo~. at Tallahassee. Ftorid~.
this,lS__day of _~nril . A. D. 19 75
~
, F1LED Ah~ RECORDEO STATE OF FLORfDA
_ ~,;r/~~
r~i~~-r~,~:?*-, , ST.lUC1E COURIY F~~• DEPAflTMENT OF CO;N~tERGE
s • . ROGER ?O~TRAS
r - ~ CLEqK CtYCU~T COURt
'•A41'~-'. . RECORD VEQ~r1E~~ ;
: ~ , =s: - .
Ys: t~ r . :
t ~~li~~pl~lt~y'p ~r~ ~l~" ~7AI 9 46 AH'~~
~.1 .;5~,' .s . 1a'1 ~`-w';~•~ .
~ ' 1 i.~we r
~'MP 3O~~J • s O~FECTOR, DIV~SION OF ~
~ ~Ilafi~,~ee, OPeOVMEN7 SECURITV
F c.~v ~ soo~~
f , t'
~ ~
~c- Y , . ~ ' ~
~ ~ ~
~ - . il ~ .~v., _ uCi_~_r~'~i
_.Y~ ~9:ri'u SS,Ti~':iC:::."C~ _~4~• . ~