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FormW - OapartnWit of the Treasury - IMemal Revenue Service <br />Feb 1963, Nobice .of_ Tax Lien Under internal Revue Laws <br />- <br />Di5lrict I Serial Number For opr oriel ux by Racorolng aft we <br />0 h 47 <br />ma a 53755 12C X30 <br />As provided by sections 5321, 6322, and 5323 of the Internal Revenue Code, J <br />Titice ns given that taxes (including interest and penalties) have been <br />aseeMed the following -named taxpayat. Demand for payment of <br />this ffabiffty =been made, but it remains unpaid Therefore, there is lien ! <br />a <br />in favor of the United States on all property and rights to property belonging <br />p <br />06-- 100569 <br />to this taxpayer for the amount of these taxes, and additional penalties, <br />fntare�, end costs that may accrue. <br />Name of Taxpayer — - -- - -- - - -- - - - -' <br />Lane, Theresa Estate of <br />Howard S. Hinman <br />flesidence - - - - -- — - - - - - -- <br />23 Kuesters Lake <br />Grand Island NE 68801 <br />IMPORTANT RELEASE INFORMATION: With respect to each assessment listed below, unless <br />notice of lien is refiled by the date given in column (e), this notice shall, on the day following <br />such date, operate as a certificate of release as defined in IRC 6325 (a). <br />Tax Period Date of Last Day for <br />Kind of Tax Ended . Identifying Number Assessment Refiling <br />Unpaiid Balance <br />of Assessment <br />ia) lbl I !W j (d) (a) <br />M <br />706 05 -30 -81 507- 24 -2079V 04 -12- 82;05 -12 -88 <br />b18,970.74 <br />K <br />This notice was prepared and signed at Omaha Nebraska <br />— - - -- _.._ __ -- — — - -- __ - - - - -- - - - - -. on this. <br />13th January 86 <br />the _- day of - -_— 19 <br />----- - - - - -- - - - ---- <br />Signature Title <br />11 Richer J. Wem� Group_ Manager <br />-- — <br />f%OTE: CsnlftCdte of oPooer &0hor1zed bylaw to take aCknowledgmenl.,,s not essemai to the valydrty of Nonce of Federal lax L+an <br />Rev Aul 71 -466. 7971 -2, C.R. 409) <br />Form 668(C) (Rev. 2-83) <br />UF <br />k <br />