HomeMy WebLinkAbout0987 ~ STATE OF FLORIDA
DEPARTMENT OF LABOR AND EMPl.OYMENT SECURITY
. . , , ~ DIVISION OF UNEMPLOYMENT COMPENSATION
BUREAU OF TAX
TALLAHASSEE, FLORIDA 32301
TE L. 904/488-7621
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IiIOTICE OF TAX LIEN
-,;,!~yer:
T i-!CMA S CGRtii N ~UCKt Account Number
c•~c~s~•.:
7c:G~ l~IFAxAK avt
FLf~T PIERCE FL .:345~ L+enNumber 4-_c,i~:t.
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Pursuant to the prov~sions of Section 443.141(31 (a? and (y) Florida Statutes, known as the lien provisions of the Florida Unem-
,~tayment Compensat~on Law, not~ce is hereby given that the abflve named employer is liable for the payment of contributions to the
Unemploynient Compensation F~nd of Florida. Pursuant to the prov~sfons of said law, the following contributions, interest, penalties,
~nd fees which after demand for payment thereo~ remain unpaid, and that by vi~r.ie of the above mentioned law, the amount of said
~:ontiibutions (taxesi together with intPrest, periaities, and other costs that may accrue in addition thereto, constitute a lien in favor
uf STATt OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY upon the title to and interest, whether legal
~~r eq~i±able, in any real Rroperty, chattels {eal, or personal property of said empfoyer.
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Perials for which contributions, ~ntar~st, penalc~es. and fees have been assessed, and the amounts tFiereof, are as follows:
QlVR j TAX DUE ~ INTEREST THROUGH PENALTY SERVICE FILING ~
' ~ 1 1/ O 1/d 4 DUE FEE FEE
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, K/ei4 A 1 41 •35 12 ~ 1 ~ ~6 ~
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~ i . ( ROGER
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~ ; 1 ST. ~~~~t _ . . ~ ~
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' ' i , 6~3~859
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TOTAL AMOUNT OF TAX LIEN 1==~`* I
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x ':l'lTNESS THE OFFICIAL SEAI OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT
-,tCURITY, DIVISION OF UNEMPLOYMENT COMPENSATION, at Taflahassee, Florida, this I~'
of AI.VtMf1En , A.D. 19 84
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` ~ ~ , ~ AGENCY USE ONLY
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P~~~~ ~ REMIT NO. DATE ~
~ ~ ~ - AMT. ~ NO PAY _
Y
~ ~ P.M. DAiE FILED 11 1
~ ~ • RE?ORTS F.,~. Davis
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~ This instrument pre~ared by: ~ ~ ~
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~ ~H~hLEY LELitVAk[; F.O.NO. ~A L.ONLY O.INDEBT.
~ Department of Labor and Employrr.ent Secunty
< Caldwell Bldg., Tallahassee, Fla.
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