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STATE OF FLORIDA
LES FORM UCT 16 DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY s~s~„O
tREV. ~BS? DiVIS10N OF EMPLOYMENT SECURITY
TALLAHASSEE. FLORIDA 32301
TEL 904/48&76'21
NOTICE OF TAX LiEN
Employer:
~ INTkA CCASTAL FFInTIt?G IPC AcoountNumber at.047 A
331 0 ENT~RPRI SE RD
FT P I~RCF FL 3345:. ~ien Number ~ 2~f ~ S
Pursuant to the provis+ons of Section 443.141(3) (a? and (g) Florida Statutes, knouvn as the lien provisions of the Florida Unem- .
ployment Compensation Law, notice is hereby g+ven that the above named employer is tiable for the payment of contributions to tfie
Unemployment Compensation Fund of Florida. Pursuant to the provisions of said law. the fotlowing contributions, interest, penatties,
and fees which after demand for payment thereof remain unpaid, and that by virtue of the above mentioned law, the amount af said
I, contributions Itaxes) together with interest, penalties, and other 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 p~operty of said employer.
j Periods for which contribu*.ions, interest, penafties, and fees have been assessed, and the amounts thereof, are as follows: ~
4
~
4 p/YR TAX DUE INTEREST THROUGH PENALTY SERVICE FILING
d9/C ~/83 DUE fEE FEE
i
j_: 1/~ 3 N 1 4 6. 78 2. 94
`f I 198~ ~3CT -5 ~+0
4 ~ ~ . ~ r.r . ~
~ ~ _~j~. i.~i4 ;~a
~ i {~jM~~ I:.j'~". r' ~1
= I
r
626620
t
~ ~
~
f
i
5 TOTAL AMOUNT OF TAX LIEN l~?S. 72 ~
WITNESS THE OFFICIAL SEAL O~ THE STATE OF FL.ORIDA DEPARTMENT O~ LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPl.OYMENT SECURITY at Tallahassee, Florida, this ZET f
day of s E FT - M e*_ k A. D. 19 E'
. -
~ ~,en°`' ab
;~,{y4 AGENCY USE ONLY
REMITNO. C~C.~13~$ DATE ~~~3~83 _
! _ AMT. = 2OO . OO NO PAY.
~ ~ll~ Q~ ~ ~ P.M. 9~22~8~ _ DATEFILED ~~~1a~
5~~~1(413 PAGE W~ ti='~
REPORTS F.A. Davis
This instrument prepared~by: ~ ~ ~
4lIRLEY LECnA~~ F.O.NO. 7A 56 L.ONLY O.INDEBT. X
Department ot Labor and Employment Security -
Caldwell Bldg., Tallahassee, Fla. AS doWn payme r; _
. .