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STATE OF FLORIDA
t'~ `°RC~ siib~ DEPARTMENT OF LABOR M!D EMPLOYMENT SECURITY
DIVISION OF EMPLOYMENT SECURITY
TAILAHASSEE32301 Account No. 701730
NOTICE OF TAX LIEN Lien No. 0-7669
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 Bennie C. I+Tilliams
425 North 18th Street
Ft. Pierce, Florida 33450
an "employer" liable for the payment of contributions to the Unemployment Compensation Fund of Florida,
pursuant to the provisions of said low, the sum of s 1002.78 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
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:
QUARTER(S) INTEREST THROUGH
QTR. YEAR TAXES -30-80 PENALTIES
E
2 78 10 00
3 78 269 47 24 25 10 00
4 78 45 77 5 43
1 79 10 00
2 79 118 37 S 33 25 00
3 79 286 09 8 59
4 79 176 83 2 65
5.00
' SERVICE FEE
TOTAL - 896 53 46 2S SS 00
€ -
WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
` MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, of Tel ,Florida,
this 9 day of May , A.D. 1980 ~ : :~''=ti..: '~I~~
" ~ ~ 1980 .lUN 17 llli 04
,w ~w~'~'r"~/ ftlED INO ~ECORUEa
~ _
r. ' ,1:? . ,fir. !Y ~ ST.~ COUNTY. FLA.
~ ` ~ a CIRCUIT i
This instrument prepared by: , rtr~i,-- " .RECCRO VERIftED ~C~O~
Barbara A. Peterson -
_ . .
Deportment of Labor and Employment Security - OR
Caldwell Bldg., Tallahassee, Fla. ~ PAt~