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Fwm 668
(Rev. Septembet 1978)
District
~C~~~I~~
OopaAment ol the Treasury • Inter~al Revenue Service
Notice of Federal Tax Lien Under Internai Revenue Laws
Serial Number sl~~
As provided by sections 6321. 6322. and 6323 of the Intemal Revenue Code.
notice is qiven that ta~ces (including i~terest and penaities) have been assessed
against the fdlowing-named taxpayer. Demand tor payment of this liability has
been made. but it remains unpaid. Therefore. there is a lien in favor of the United
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes, and additional penalties. interest, and costs that may
Name of Taxpayer
GARY EU(BNB BURFOltD - BURFORD CONSTRUCTION
Residence
Fw Opflona/ Use by Reco~O~ng Olhce
FILEO Rt1C F~CW+OCD
5 tiO~GER PQ TRAS~
c~EaK c~acuit ccu~;t/l
r.~C: . .. ~~ • 'rI.• tt ~~ . ~/~'~'' '
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51564~
7102 KENWi00D RQAD FORT PIERiCE# FL 33450
' UnpaW Balance
Kind of Tax Tsx Period Ended Date W Assessment IdenW~lin~ Number of Asseasment
fa) [b) [c) fd) (~1
940 12-31-~79 04-19-80 59-1948897 5.82
941 12-31-75 04-19-80 " " 185.72
941 03-31-80 07-28-80 " " 934.69
941 06-30-80 09-29-80 " " 1,386.35
~J
Place of Filing
CLt~itY OF Tt~ CIRCUIT COURT
ST L1~ZB CO1Ri1Y COI~tTHOUSE
FORT PIBRCB~ FL 33450
This notke was prepared ana signed at ~~~~t ~
the 2g day of J~~Y .19 81
Totsl =
2,512.5A
, on this,
~ Signature Titte '
~ -
' hw RSVENUS OFFICER .
.~
Mar. Ce.riricar~ o~ onrcer aurnorrzad ey aw ro r.ks ~cknowfMym~nq b na .u.nrr.~ ro rn~ vaudrty w Nor~c~ a .
F.~.., ~.x ~ a.~.~,. z~„~. ,~~.,. ~.e. ,zs., 8~~47 ~~~2436 ~
Part 1- To be kapt b~- recordin~ . Form 888 (Rev. 9~76)
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