HomeMy WebLinkAbout0988 ~
STATE OF FLORIDA ~
F,,,~,,, DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
. , , DIVISIbN OF UNEMPLOYMENT COMPENSATION
BUREAU OF TAX
TAILAHASSEE, FLORIDA 32301
TE L. 904/488-7621
68~8~~ NOTICE OF TAX L~E~1
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2001 SE tLMHURST kI;AU Lien Number 4-:. _v _ t
I~I:FiT ST LiiCtt FL ~.~452
Pursuant to the provisions of Sect~on 443.141(3) (a) and (y) Florida Statutes, known as the lien provis+ons of the Florida Unem-
,,loyment Compensation Law, notice Is hereby given that the abc.2 ~~med employer is liable for the payment of contributions to the
Unemployment Compensation Fund ot florida. Pursuant to the provisions of said law, the following contributions, interest, penalties,
and fees rvfiich after demand for payment thereof remain unpaid, and that by virtue of the aoove mentioned law, the amount of said
contributions (taxes} together ~vith intP~est, penaities, and other costs tF~at may accrue in addition thereto, constitute a lien in favor
' ~~i STATE OF FLORIDA DEPARTMENT OF LABOR AND EM?LOYMENT SECURITY upon the title to and interest, whether tegal
or equitable, in any real property, chattels real, or personal property o! said employer.
Peri~cls for whiCh Contributions, int~rest, penalties, at~d fees have been assessed, and the amounts thereof, are as follows:
Q/YR TAX OUE ~ INTEREST THROUGH PENAITY SERVICE FIUNG
~ 1 ~ i 1/O l/fi4 DUE FEE FEE
i - ,
E_ c/ts4 A 1 l.s•94 ( l• 71 1:s `vC •
'84 I~Y 16 f~1 .1
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g ; ~ F!L L - . .
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TOTAL AMOUNT OF TAX LIEN 1=~- •
WITNESS ~THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT
; CURITY, DIVISION OF UNEMPLOYMENT COMPENSATION, at Tallahassee, Florida, this 1~7
' .,~y o~ NOVEMdER ~ A.D. 19 .
_ ~ ~F
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~ ~ ~ ' AGENCY USE ONLY
~ V~ ~~Q - n REA11T NO. OATE 11/ 1 ~ 4
~ 0 Y~G` ~ - AMT. 5 NO PAY.
~ p.M. DATE FILED ll~i
~ y ' ~ REPORTS F.A. D3V~S
~ Th~s instrument prepared by: ~ ~ ~
G.
~ :,HikLEY LEUNAFV F.O NO. ~ ~A L ONLY O. INDEBT.~
~ Department of Labor and Employment Security
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~ Caldwell Bldg., Tallahassee, Fla.
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