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Form F tW"to of Stb"nation of Fe feral Estate Tax Limn <br />(Rev. Junes 1981) (Secon d)(I) of the Internal Revenue ) <br />John J. Fan . <br />Decadent's address at time of math <br />Number <br />508 -46 -6355 <br />Amount of additional estate tax <br />$112,029.01 <br />, and social security number of qualified heirs Name and address of agent designated by the qualified heirs <br />of property subject to the lien for dealings with the Internal Revenue Service regarding the <br />James E. Fagan 506 -28 -1556 specially valued property <br />Cairo, Nebraska 68824 <br />John J. Fagan,Jr 507 -38 -5364 John J. Fagan, Jr. <br />Cairo, Nebraska 68824 Cairo, Nebraska 68824 <br />Mrs. Dorothy Adams 506 -28 -3261 <br />Rrnkan Rntu_ Nebraska 68822 <br />A lien exists in favor of the United States against the specific property described below for additional hederal estate <br />tax imposed by Code Section 2032A(c) due to the special valuation elected under Section 2032A. <br />Re inter <br />Notice of the lien was filed with the_____ ^__�_.._�_� of Deeds <br />County of Hall <br />in accordance with applicable provisions of the law. <br />Description of property against which the lien exists <br />Sh NW% of <br />Section 26, <br />Township 12 North, <br />Range 11 West of <br />the <br />6th P.M., <br />Section 19, <br />Township 12 North, <br />Range 10 West of <br />the <br />6th P.M., <br />all in Hall <br />County, Nebraska <br />Disposition, if any, of the qualified property <br />" <br />r7 <br />_v <br />� °J <br />N/A <br />Z <br />hr at's <br />