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7/05/2001 11:17 FAX 14024714429 NEBRASKA UCC <br />Form 668 -H <br />(Rev. July 1967) <br />0161rict AMR i, <br />Lt,@A CM-W —CO 1 <br />Z 002,'003 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal. Estate Tax Lien Under Internal Revenue Laws <br />Serial Number <br />Notice is given under the provisions of section 63246 of the Internal Revenue <br />Code that a Gen exists in favor of the United 13tates against the specific property des- <br />cribed below for additional Federal estate tax imposed by section 2032A(c) due to the <br />special valuation elected under section 2032A. <br />Name of Estate fEr.-Tprre aF FLT )q1D & 0 <br />a p,U r iteD k1° c s : S4E- <br />131) ALL . <br />ATMCKED <br />Name and address of agent designated by the qualified heirs for dealing with IRS <br />regarding the specially valued property. <br />a <br />Janice Martin <br />11125 ravenna road <br />Gibbon, Nebraska <br />For optional Use by Recording Oboe <br />Nt Sq of 54.1e n- UCC FTL <br />990111,64022 -0 Pee: 2 <br />RANDALL FLOYD (ESTATE) B. <br />Filed: 07106/2801 03:66 PM <br />SEE ATTACHMENTS <br />200106734 <br />Date of Death Decedents Social Security Number Amount of Additional Tax <br />-7--1 -q r7 I 506-LALA- ISS-EV Is q S. i W5 <br />Description of Property to Mich Lien Attaches <br />see attached legal description <br />Place of Filing "AL-L_ ootj -'q 2e!vis-y9a Oir 11_s <br />rl'gz- <br />This notice was prepared and signed , on this <br />t day of �- ' t2Q© <br />Sig re �r•c�-r t� I Title <br />:407— 7-:tj - <br />ry <br />Part 1 - To be kept by recording office <br />Form 668 -H (Rev. 7 -87) <br />Cat. No. 16744N <br />