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6-% <br />—i <br />INSTRUCTIONS <br />PURPOU OF FORM- This farm Is to be und by the Nebuiks <br />Department of Revenue for On pu"Stain otilyinji dw appFoprigo <br />county authorities that a Notice of Tax Uan 14 h41% Aled <br />&F&ISt the taxpayer indicated on ft form. <br />%C C 0 1 <br />The -ftx cat"M number coda and the Nebraska tax program they <br />Cp <br />present as Usted below, <br />'01 ............................. SRI" T" <br />02.. Retailers Use Tax <br />04 . Containers Use Tax <br />10 ................... Pad-mutual <br />21 ................... Income Tax Withholding <br />22 ...... Individual Income Tax <br />23 .....................Fiduciary Income Tax <br />24 ... ..... Corporate kwome and Franchise Tax <br />.DocumenuryStarnpTax <br />." <br />-,,M*dw Amunment Davla Tax <br />49 <br />• ..........................Severance Tax <br />46 btste Tax <br />47 .C*WtteTax <br />67 LAtter Fee <br />• <br />. ....................... Codling Tax <br />71 intentate Motor Carders Fuel Tax <br />......... <br />81 .:.......Motor Vehicle FueblmpoTUng Dealer <br />85 ........... Aitmft Fuels <br />91 ....... .................... Special Fush <br />6-% <br />—i <br />'p, <br />Cp <br />7T <br />6-% <br />—i <br />