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STAT~ OF F~ORIDA
DEPaRTMENT OF LABOR AND EMPLOYMENT SECURITY
DIVISION OF EMPLOYMENT SECURITY
TAILAHASSEE 32301 :~,:,:,,;,,,~~~,,. 70249$
t.~~•~~ ~~~. 1-4196
NOTICE OF TAX LIEN ~
J E O P A R D Y '
~
Pursuant to the provisions of~ Section 443.141(3)(a1, ~lorida Stotutes, known as the Florida Unemployment
Compensation low, notice is herebr given thot there have been assessed, pursuant to the provisions of soid law,
ogainsr•______ Bobby_Ray i~c~:inney • •
1112 ~9. Joy Lane
~'ort Pierce, FL 33450
an "employer" liable for the parment of contributions to the Unemployment Compensotion Fund of Fiorida,
pursuant to the provisions of said law, the sum of S 1,224.85 covering the following
contributions, interest ond penalti=s, which after demand for paYment thereof remain unpaid, a~d :har by virtue
of the above mentioned law the amount of soid contributions (taxes), together with penolties, interest, and costs
thot may accrue in addition the~eto, constitute a ~ien in fovor of STATE of FLORIDA DEPARTMENT of
LABOR ond EMPLOYMENT SECURITY upon the title to and interest, whether fegal or equitabie, in any real
property, chattels real, or personal propertr of said employer.
Periods for which contributions, interest, nnd penalties hove been assessed, and the amounts thereof, ore
as follows:
! QUARTER(S) ~NTEREST TMROUGN ~
TAXES p~NALTIES
QTR. YEAR
1
2
q 80 i
gp I
gp !
,
~ 724
(Bal. ) 215
(Bal. ) 234
~
~ 83
64
12
+
1 36
12
1. 24
80 ~
17
I
~
~
~ ~ I
i
~ I
~
~ ~
i 1
i ~
ERVICE fEE ~
_ !
I !
;
' I '
' ~
;
__
~
; TOTAL - 11'~~ 6 50 21 ~
WITNESS THE OFFIC~A~ SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, at Toltohassee, Florida,
this 11 dar of March __~ A.D. 19 81 1981 MAR 23 AN 3- S9
Th~s instrument prepared by:
Terry :•iiller
Department of Lobor and ER:plorment Securitr
Caldwell Bldg., Tallahassee, Fla.
.
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