HomeMy WebLinkAbout1387 STATE OF FLORIDA 438023 j~ ~
t.t:s ioRM UCT-19 DEPARTMENT 0~ LABOR AND EMPLOYMENT SECURITY
1 RE v. 0,% 7e 1
DIVISION OF EMPLOYMENT SECURITY
TALLAHASSEE 32304 A,;,;,,,,,,t 701332
NOTICE OF TAX LIEN 9-1554
Pursuant to the provisions of Section 443.15 (3) (a), Florida Statutes, known as the Florida Unemployment
Compensation law, notice is hereby given that there hove been assessed, pursuant to the provisions of said law,
against Bernie Lemar Hill
3607 Ave. K
Ft. Pierce, Fla. 33450
an "employer" liable for the payment of contributions to the Unemployment Compensation Fund of Florida,
pursuant to the provisions of said law, the sum of S 129.28 covering the following
contributions, interest and penalties, which after demand for payment thereof remain unpaid, and that by virtue
of the above mentioned law the amount of said contributions (taxes), together with penalties, interest, and costs
that may accrue in addition thereto, constitute a lien in favor of STATE of FLORIDA DEPARTMENT of
LABOR and EMPLOYMENT SECURITY upon the title to and interest, whether legal or equitable, in any real
i property, chattels real, or personal property of said employer.
Periods for which contributions, interest, and penalties have been assessed, and the amounts thereof, are
j os follows:
s
3
QUARTER(S) TAXES INTEREST THROUGH PENALTIES
.QTR. YEAR 12 31 78
1 78 5 00
t 2 78 (Supp) 101 74 2 54 10 00
3 78 FI_EU Ai~D DECOR D 10 00
. _~,F_ ~~UhlTY, L.~.
43803 I
9 ~
7 2 I aM 2' 0
_ _ q ~
CI.t,Ru C~r<CJ{T L'0 RT i
SERVICE FEE _
TOTAL 101 74 2 54 25 0
ry WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
- MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, at Tallahassee,, Florida,
s 30 y Jan.
this da of _ _ A.D. 19 79
t
SEAL
This instrument prepared by:
Carol Waugh
_ Department of Labor and Employment Security ~ k
soon 1
Caldwell Bldg., Tallahassee, Fla.