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e` r 1 <br /> l <br /> SSR J4 f4! <br /> pF , 4IL <br /> 7 . i-�;yi�fa <br /> { r i <br /> � aEthti>•J hM+ ++ir.Lx N•x-{4-d.. [«x F. <br /> y C ! <br />; �tl`Y <br /> AY� '.'ry}}'Y ! <br />'�'F, 1 {rA 7? 4 <br /> TAX CATEGORY NUMBER:CODE ` • <br /> 1e4y . <br />'0 z1?rz **f <br /> r , y13! INCOME-TAX'''. <br /> kw f` WITHHOLDING .21 <br /> 7 5k • FIDUCIARY 23 <br /> r�N' M't .. ...24 <br /> krn r' CORPORATE'.............. • • <br /> '` "r SALES/USE TAX t <br /> o- <br /> SALES 01 <br /> { ..��EUSE •- . _ ..t <br /> MOTOR FUEL-TAX: <br /> . . <br /> ...........,...'_..........85 <br /> t <br /> NMARRERS ....... . ......................71. ..r ;3` , R ;.81 - - ' { <br /> ,fi}�' AVIATION.......:_.......:............... .. ..:.e x ' ` <br /> 9Sa SPECIAL FUELS <br /> err` .. _..` PARI-MUTUEL ...... 11 <br /> BINGO TAX 35 <br /> rt. • DOCUMENTARY STAMP TAX 52 <br /> CIGARETTE TAX 57 <br /> SEVERANCE TAX 61 <br /> 1.,....„?........';:,,,,-,,,.....L.y..,.: <br /> ' .t c <br />�x '° s DATE DESIGNATION NUMBER CODE <br /> ALL DATES SHALL BE WRITTEN IN NUMERICAL FORM, FOR <br /> 1h EXAMPLE JANUARY 1,1975 WOULD BE WRITTEN 1-01-75: <br /> 3 <br /> 1 �x 2,�. (rte <br /> C J <br /> F T <br /> s ... +vim O ..4! <br /> 1 Y. <br /> V <br /> O <br /> f <br /> L. <br /> ��J.. <br />