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Form 66&F Department of the Treasury • Internal Revenue Service For Optional Use By Recording Ollrce
IRe~. 2-77) Notice of Federal Tax Lien Under Internal Revenue Laws ~ _ 3
District Serial No.
JACKSOiVILIE Bk ~4g pg 2617 X32751+5
Pursuant to the provisions of sections 6321, 6322, and 6323 of the Internal Revenue Code.
notice is hgreby liven That there have been assessed under the Internal Revenue laws of the ~ ~ ..8 ~
United States against the following-named taxpayer taxes tincluding interest and penalties)
which after demand for payment thereof remain unpaid: and that by virtue of the above- ~ ~
mentioned statutes the amount of said taxes, together with penalties, interest, and costs ~
that may accrue in addition thereto. ig a lien in favor of the United States upon all property
and rights to properly belonging to said taxpayer. tRf~tffi
Name of Taxpayer
PETEEt iii. CIOFFI 's
492043
Residence ~ CAUSEWAY BLVD -
VERO BEACH, FL~tIDA 32960
Unpaid Balance .
Kind of Taxi MFT Tax Period Ended Date of Assessment Identifying Number of Assessment
(a) (b) (c) (d) (e) (f)
1040 30 12 31 74 05-6-75 265-~2-681,,2 5340.43
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Place of Filing
s Clerk, Circuit Court
I St Iucie County Total s 5,340.43
Fort Pierce, Florida
Notice of Federal Tax Lien Refiling
IRS Serial Number Recorder's Identification No. _ -
Notice Filed With - - Date -
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Taxpayers Address 74 E~``~' Drive -Jensen Beach, Florida 33457 _
t d'f t~,~$n shown above)
Signature.!i~~~ " . ~-'~'~r' _ Title revenue Officer {
i t•atthew i•farcils
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Witness my hand at t•~elbo>>~e, Florida , on this.
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)L day of February , tg
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Signature G. A. Sharpe Title Group Manager
(Note: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Notice of
Federal Tax Lien G.C.M. 26419, C.B. 1950-1, 125.)
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BtlOK JJ~ PAGf~~Put 1- • To be rotaifted by rocorditp office