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STATE OF FLORIDA
t.l:s coRr~ ocT_,e DEPARTMENT OF LABOR AND.EMPLOYMENT SECURITY -
(REV_ a/701
DIVISION OF EMPLOYMENT SECURITY
. TALLAHASSEE 32301 Account No. 435094
NOTICE OF TAX LIEN L'en 9-11841
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 have been assessed, pursuant to the provisions of said law,
against James R. Owens Sr.
t/a Owens Home Improvement ~
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P.O. Box 353 Ft. Pierce, FL 33450
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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 71.32 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
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LABOR and EMPLOYMENT SECURITY upon the title to and interest, whether legal or equitable, in any real _
property, chattels real, or personal property of said employer. -
Periods for which contributions, interest, and penalties have been assessed, and the amounts thereof, are
as follows:
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QUARTER(S) TAXES INTEREST THROUGH PENALTIES
QTR. YEAR 9-30-79
4 78 58 96 2 36 10 00
3t9 h+J'~ 23 A~ i~ 2
FILlO ANC k~Cu,~UtC
ST. LUCIE CGU;lEY.FLA
R06ER POITRAS
CLERK CIRCUIT COUR
RE OROVEfIr1iG__
9
46~G9'78
SERVICE FEE
TOTAL 58 96 2 36 10 00
WITNESSTHEOFFICIA~ SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, at Tallahassee, Florida,
this 12 day of October , A.D. 19 79
SEAL
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This instrument prepared by:
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Ray Fitchner
ORe~c~ ;
Department of Labor and Emalovment Security - " ' ' ' " ` ` ~ $(1DKJ~?V ~>,~249~