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<br />I" <br /> <br /> <br />form,'.' <br /> <br />Department of the freasul1' . Internal RevenW! Service <br /> <br />~~otice of Federal Tax Lien Under'lnfemal Revenue Laws <br /> <br />Serial Number <br /> <br />ForOp'/ipnal Use by Recordlilf/Olfice <br /> <br />r <br /> <br />;Om~a 47 <br /> <br />45441 <br /> <br />-668831OA -068 <br /> <br />A~ PfJ>VI~bY sectlo~ 6321,6322, and 632~ of the Intemal, Revenue Code, notice Is given <br />th~t",X~lnclud/!19 In\erest and:penal~ljl~) haya been assessed against the following.named <br />tai<pilyer~aml for payment of thl,j"'iiabllity has been made, bul it remains unpaid. <br />Th6f1!forEli'lherels a Hen In favor of the Unlled States orl'allproperly and rig his to proparty <br />belo'figlng "to:this-ta}(payer for the amount of these taxes, and additional penalties,' interest. <br />arid 'costs that may accrue. <br /> <br />83--0061'73 <br /> <br />Chisum, IndlJstries, Inc. (F\ Corporation) <br /> <br /> <br />Name"oHaxpayer <br /> <br />Residence <br /> <br />P.o. Box 1%6 <br /> <br /> <br />IMPOAT"NT1lEt.EMEINFORMATION- Wllh respect to each assessment list below, unl_notlce <br />of lien Is-reflled.by the.date given In column (e), this notice shall, on the day following.such date, <br />operate aa a certificate of release as defined in lAC 6325 (a~ <br /> <br /> TIiXPllrlod Date of Last Day for Unpaid Bafance> <br />K1ndcofTax Ended Identifying Number Assessment Reflllng of Assessment <br />(aj (bJ (e) (<I) (e) (f) <br />941 06-30-83 73-\J986222 0':.1-05 -83 .LO -05 -89 'l> 5,424.30 <br /> <br />Place 01 tiling <br /> <br />Register of Ueeds <br />Ha 11 Couoty Grand I s I and, Nebraska 68801 <br /> <br />Total S <br /> <br />5,424.30 <br /> <br />This nolice was prepared and signed at <br /> <br />Iltllihi. fUillriik a <br /> <br />,on this, <br /> <br />the~ day of <br />SIgnature <br /> <br />,le'JelliBel' <br /> <br />. 19~ <br /> <br />Title <br /> <br />S341X <br /> <br />kebecca Liebsack <br /> <br />Chi ef, uff i ce (j ranch <br /> <br />(Note~ C&rlificote of office, outhorizfSJ by low'" take QcknowlNgements is n01 essenrial to the validity of NotIce of Federal Tox Lren <br />G.C.M. 26419. 19S().l, CB. 125.) <br /> <br />Part 1 - To be kept by recording olliee <br /> <br />FornI 661IR~..., 12.821 <br /> <br />u <br /> <br />L <br /> <br />~ <br /> <br />L <br />