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INSTRUCUM <br />PURKISE OF DORM. This form is to be used by the Nebraska <br />Department of Revenue for the purpose of notifying the appropriate <br />n A ^ 0 �y+gtthoritfea that a Notice of State Tax Uen is being Ned <br />V G 1J V a Wes taxpayer indicated on this fart. <br />The tax category number codes and the Nebraska tax programs they <br />reprosent ate listed below. <br />01 ............................. Sales Tax <br />02 . ......... Retailers Use Tax <br />04 ...................... Consumers Use Tax <br />10 ............................ Pari-mutuel <br />21 ................... Income Tax Withholding <br />22 .................... Individual Income Tax <br />23 .....................Fiduciary Income Tax <br />24 ...........Cor(porato Income and Franchise Tax <br />36 ....... • • • • • • • . • • • ^Documentary Stamp Tax <br />44 ............ Mechanical Amusement Device Tax <br />45 .......................... Severance Tax <br />46 ............................ Estate 'Pax <br />47 ..... ......................Cigarette Tax <br />67 .... .........................lAtter Fee <br />68 ........... ........... I- edging Tax <br />71 .............. 9mentate Motor Carriers Fuel Tax <br />81 ...........Motor Vehicle Fuels Importinj;Dr i:er <br />85 .......................... Aircraft Fuels <br />91 ........................... Special Fuels <br />1 <br />in <br />ro <br />1i r: <br />LTS <br />n - <br />r ca <br />t� w <br />Co <br />Q0 k.L r. , <br />s +�.� <br />��•'�� � � �Y1Al r <br />•. <br />.4 •f <br />���. .yam,: <br />n cn <br />-a <br />C <br />! <br />-i (T, <br />9 <br />w^ ^ <br />-n <br />�� <br />r <br />.-n = <br />a <br />t -, <br />mP" <br />N <br />r <br />N <br />i <br />Q0 k.L r. , <br />