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_ i <br />__ <br />-"- -~ - ~ "- - Department of the Treasury -Internal Revenue Service <br />-- r~o~t.668-H =, ~~+~`of,R~rat Estate Tax Lied Under Internet Revenue Laws <br />Oistriet Serial NumF~r Far O(,rfOOA/ Use by Recording Office <br />Omaha ~ 222-- B~BX _ <br />- M1hitice this is given under the provisions of secYton 63248 of the Internal <br />Revenue Code that a Lien exis{s'in favor of the-tftiited States against the specific <br />properly described below for additions! Federal estate tax imposed by section <br />20321`faJ due to the special valuation elected urxier section 2032A. ~ <br />1 <br />Name of Estate <br />Mamie M. ROHRIGH <br />Date of Death ~ Decedent's Social Security tdumber :Amount of Additions!-Tax <br />October 7, 1979 ~ 505-58-0048V is 44,192.80 <br />Name and atkciress'Of agent designated by the quaiifeeu' iaeirs fur u'ealingo vroit ins <br />regarding the specially valued Property. <br />Donald Rohrich <br />Route 3, Box 44 <br />Hood River, Nebraska 68883 <br />Oesttiption of P4~operty to 4ylt[ch Lien Attaches <br />Ha11 Gounty, Nebraska: <br />1. :interest in NZSkl; of Section 26, Township 10, Range 12 <br />Z. ~ interest in E3NE4 of Section 34, Township 10, Range 12- <br />3. z interest in N2SE', of Section 16, Township 10, Range 12 <br />l+iace of Firing ter o-f~ TTee~t -5 <br />Hall County <br />brand Island, Nebraska 68801 <br />Tftfs natisxt was prepared and signed at __. - --- --- _ __- ~_ _.- _-- -- <br />the 17~, ot..__ July ;9 _81 ~_.~_~___- <br />S+gnature `~ ~ /~ y <br />~~nald J. Ehlers <br />Omaha, Nebraska <br />on th7s, <br />Chief, Speeial Procedures <br />Pllc[ i -~ TO be lapt bg offioC <br />t <br /> <br />Form t3fi$-ti (143-78i <br /> <br /> <br />