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<br /> <br /> <br />F:.rm~O i Oepa*traent M.tW®TreggUro'ini®mat 47avenvaServlce <br />~ ~er~ca#~ of Remeas~ ~f ~ede~al T~~t Li~~ <br />«~,~,~,,,~~~,~, <br /> <br />-~ <br />~~tCfCt `T~#~ ~~ny~r ~ <br />- <br />For Outionai Use by fiocording OlPres <br />I <br />~ <br />} as to the fvilowrirrg-Warned taxpayer, tfs~ requirements of section 6325ta <br />d below and <br />li <br />t <br />e ~~yy t (~ ~y <br />J 3 l <br />4J ~ °"~j ~~ <br />~ <br />s <br />e <br />xas <br />of the Inltmrsal Flevertae Cade leave been 3~tlsfied for the t 1 <br />for elf ;~attRory additions. Therefore, the !tars. provided by Code. section &321 tar i ~ <br />tfiele tax•6 ancf nddstiers has been re:eased. The proper officer in the office j <br />where the notice of internal revenue tax fiery was filed an~ls<L9~r 1 i i <br />13_$:L, is etdhorized +o note the books to show the release of .this lien for ~ 1 <br />these taxes end additions. <br />Nereoe e>f TexpaYer <br />~~ ~ <br />~ ~ ~~ <br /> Unpaid Balanco <br />ItMd d Ta= Ta[ Period Ended:. Dels'd ~ ~ l IitTmbur <br />d psanssmsnt <br />{aJ ,CAT icl i - `.ldT ~ (s) ___ <br />x~ <br />ar ~-~s <br />T '' ~:~ <br />a <br /> a <br />~~ s ~- x,aoa.a~ <br /> s~.~+r <br />~ <br />f ~~, <br />~~_~ <br />t Pao, d ~ <br />~ T+olal <br />1 ~ ~ i <br />~r~-~ <br />i <br />T <br />- -, <br />1*w'~r~,ia pnper~d and sipMd ~ Omatla, Nebraska , on this, <br />ln.-1~h dw d ~y ~~ ~ <br />Tin. <br />J. "hler Chief, 5peciaj Frotedures <br />slaws C~tlf/ww d ~eN~arinf'. Clr Mw. to ~. afa N nol...: wsMl'!M to tM: va1lplty d Ma[fca m ~ <br />r~rr r: cw. a.ca. 2Mt4 rrsot, C:L rm.f <br />Par! 4 -- Tai bs teed for ieCOtAhey Ollrp~ Form: Qilit [Re+r, 9.78) <br />~.~.__ <br />