The following form shall be used in filing tax liens against the taxpayer for such amounts as may be due the City under the terms of this article:
"CITY OF POINT PLEASANT, WEST VIRGINIA
NOTICE OF TAX LIEN
Pursuant to the provisions of the Gross Sales Tax Ordinance, City of Point Pleasant, West Virginia, adopted June 9, 1952, as amended, notice is hereby given that there has been assessed under the hereinbefore referred to Ordinance the following taxes and interest which after demand for payment thereof remain unpaid, and that by virtue of Ordinance the payment of said taxes and interest, together with additional interest that may accrue, is a lien in favor of the City of Point Pleasant, West Virginia, upon all property and rights to property belonging to the following taxpayer, to-wit:
NAME:
PLACE OF BUSINESS:
NATURE OF TAX: City of Point Pleasant
B&O Tax
Taxable Period:
Amount of Tax Assessed:
Amount of Interest of Date of:
Given under my hand this day of , 19 .
MAYOR
State of West Virginia
County of Mason, to-wit:
This day personally appeared before me, , a Notary Public in and for the County and State foresaid, , Mayor of the City of Point Pleasant, West Virginia, to me well known as the person who executed the above instrument and acknowledged that he executed the same for the purposes therein expressed.
GIVEN UNDER MY HAND THIS DAY OF , 19 .
MY COMMISSION EXPIRES ,
NOTARY PUBLIC
THIS INSTRUMENT PREPARED BY: ."
(9-9-85)