HomeMy WebLinkAbout0989 t
STATE OF FLORIDA ~
,;.,~c~,,+ i;r:T , 4 DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
. , • DIVISION OF UNEMPLOYMENT COMPENSATION
BUREAU OF TAX
TALLAHASSEE, FLORIDA 32301
TE L. 904/488-7621
6808f,1 NOTICE ~F TAX LIEN ~
, rc~ljtEA kCFtitE Account Number 7,, : 1~ 1
A L i. NAF.iI'c57 iNG ~
~eGc. AVE t lienNumber 4-.~~.:c7
F= 7 F~ I t:«E FL :~s450
I,
Purs~ant io ihe provisions of Section 443.141(3) (a! and (y) Florida Statutes, known as the lien provisions of the Florida Unem-
;~loyment Compensation Law, notice is hereby given that the above named employer is liable for the payment of contributions to the
Unemploymen*, Compensation Fund of Florida. Pursuant to the nrovisions of said law, ihe following contributions, interest, penalties,
~nci fees ~vhich after demand for payment thereof remain unpaid, and that by virtue o2 the above mentioned law, the amount of said '
cor~tributions ltaxes) toyether with ~nterest, penaities, and other costs that inay accrue in addition thereto, constitute a lien in favor
, ~_:f STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLQYMENT SECURITY upon the title to and interest, whether legal
equitable. ~n any real property, chattels real, or personal property of said employer.
~ Periocis for ~vhich contribut~o~s, int~r~st, penalties, and fees have been assessed, and the amounts thereof, are as follows:
' Q/YR TAX DUE I~
NTEREST THROUGH PENALTY SERVICE FILING ~
f ~ Ol1E . FEE FEE
11/~1/d4
i
~ ~~4 a~ 3.~y. ob ~ 5. c~5 i 5. o:;
i ' ~ '84 t~Y 16 ~1:11
: , ~ ~
~ ; ~ I ~
' i i I y / / ~
s ! ~ F1L~C
° ~ ~ ~ ROGER , , ~ : ~
~ ~ ~ ~ ST. LUCI: t;.
~
~ t
~ ~ 4 I
~ i ~ nQ ~
~ ~ ~ ~~+JV~
~ ~ ~ I I
_ , ~ ~
~ ' ~ i
~ ~ ; i
~ ` ( j -
TOTAL AMOUNT OF TAX LIEN - i ~
f ~;vITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT
;:=.CURITY, DIVISION OF UNEMPLOYMENT COMPENSATION, at Tallahassee, Flarida, this =-~7
,;:J o~ t~GVEHN.ER A.D. 19 do
,
.
f ~ AGENCY USE OMIY
~ 448 , 988
i* REMIT NO. DATE 11/l~/8~
~ L ~ AMT. 3 NO PAY.
r~-
~ ~ •t~~"~~' P.M. ~ATE FILED 11~14~
~ S tn REPORTS F a Davis
~ This instrurnent prepared by: ~ ~
~
~ _ .`-,HI ~L~Y I.CONAF:G F.O. NO. ~-~A L ONLY O. INDEBT.~
_ De~artment of Labor ancl Employment Security
~ Catdwell Bldg , Tallahassee, Fla.
~
- -
~ - - ~