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I <br />I <br />A .4 <br />=41— =z", <br />to"—, <br />INSTRUCTIONS <br />PURPOSE OF FORALThis form pis to �,---d by the Nebraska <br />Department of Revenue for the purpose of -**tifying the appropriate <br />county authorities that a Notice of State Tax Lien is being filed <br />against the taxpayer indicated on this form.• <br />ISO I The category number codes and the Nebraska tax program thex, <br />repieAt are listed below. <br />01 ............................. rates Tax <br />02 .......................... Retailers Use Tax <br />()4 ...................... Consumers Use Tax <br />10 ............ .......... Pari-mutuel <br />.................... Income Tax Withholding. <br />22 .......... Individual Income Tax <br />z3 .....................Fiduciary Income Tax <br />24 ...........Corporate Income and Franchise Tax <br />36 ...................Documentary Stamp Tax <br />44 ............Mechanical Amusement Device 7%x <br />45 .......................... Severance Tax <br />46 ............................ Est? te Tax <br />47 ..... ......................Cigarette Tax <br />67 ............................. Litter Fee <br />68 ............................. Lodging Tax <br />71 .............Interstate Motor Carriers Fuel Tax <br />81 ...........Motor Vehicle Fuels Importing Dealer <br />85 .......................... Aircraft Fuels <br />91 ........................... Special Fuels <br />031 <br />Cz n CP <br />rns <br />-n <br />co 0 <br />ed-% <br />Gn LO <br />r") 0, <br />M <br />