|
. . �t
<br /> :.��.,: �:�i ',^ "ti�,�'�s�'.t�';�!�J• � �� ' ... rt��� , . .
<br /> �1, .:, �S'�r;+•.i ,�lr, ,y' 1't� ,�. "`,-���5 �-:1a yl ��..{:��. r' J' c7'�r:5i��irwl�r �'l.h? � 1'��!'
<br /> 1t ! .� ' 3 �' t�,i�``�!.'•1•� �'''�� ��1 F�lGOeyrr_�—.
<br /> j lt'����j i f x k"r. ��-S?2 ;�i. ..s.�lGi447.�!1 i �j� , i� �(r[;; ti` ��(���!� ��� . .�e r � � S..i,.t.�.. �.�..tv p r�rrw:---.
<br /> L!,?.4 !f f `C%�• •�t,�,.�
<br /> �1/1�1'yafl "'� � ''v � � tti�r ''` . '�•.,n.�-wf�111�.,. , j� 7blwcw - �: �
<br /> `.���i. ��s ��, , , Y . ;t, • '"s , _ �- _.,
<br /> . �i :arm,.,- .
<br /> .. - - .i`^S.S�•• _ ."Sc
<br /> :YY: .a ...4u�..�.. 1 '✓ ._ .___"f_�_.__—
<br /> . �+�-- `— _.�.�.y�'�
<br /> .. . _""_..i.:--�.e_.1JL. _' ._.'. _ _._ .._ —
<br /> . ....�...�� '• _ . _—"�—__..
<br /> .{. � .. . .
<br /> _ ; �;....�».. •`�y*:�.� INBTRUCTIQMS
<br /> �.r�• ,. ��z_:_=
<br /> • �w.,,:;3.,�±;.,,;��; PUNf'oYE OF FORM.Thi� form U to be uced by the Neb�ssk. • 4 ,..�,.�=M--=- --_
<br /> . . Dep�rtmnnt ot Rev�nue for the purpo:e oi nndfying the�pproprUte
<br /> county �ulhodlle� th�t s Notice oi State T�x Uen u beUi�flled
<br /> - " . .� . U 1 t O U 1 apinst�qiaxp�yer indicated on thii fortn. --
<br /> , �: . --------
<br /> ' .4,_ • 1 i 1 ,me tix• Rory numbor cadei rnd th�Nebruka wc pro�nm�ttuy -_ -- _.
<br /> , ��'�'•,
<br /> � � :�''; . r�present ue Wted Mlow.
<br /> • .. ,.
<br /> , . - ---� -
<br /> .,. . Q� 3�1a Tax l- -_..
<br /> � ,,.. 1` ... .... ... . .. . ... .. . .. . ... ... -- =._�—
<br /> ^ 02 . .. . .. . . .. .. . . ... .. . .. . .Ratallers U�e Tax �.: _,._ -.-�
<br /> ; , a �c:�:��T-��m'
<br /> � �^ . ... . ... ... .. . ... .. . .. Conwmors Uu Tax =— ---
<br /> :S . . . �p . .. .... .. .... ... .. . .. . . .. . .Pui�nuwel �:�z:F.:-.—�-���`
<br /> . , .. .. ' ZI . .. . ... ... ... . . .. ..IncomeTaxWithholdin� ��� . ,wK.,r..,�:.r:::T,
<br /> .,,,., ,
<br /> : " . 22 . .. . ... ... . .. . ... .. . Indivldual incume Tax , :,: ..��••v....•.��=
<br /> . � ,� ° 23 . .. . ... ... .. . . ... .. . .Fiduci�ry Income Twc �„ ' • .
<br /> n : 24 ... . ... ... .Corponte Income md Fr�nehi�e Tax I . � `.�i":`. .
<br /> 36 . .. . .. . . .. . .. . . .. ..Dacumentary Stamp Tax f
<br /> , . 44 ... . ... .. . .Mechpnic�l Amucament Device Tax ,,.,.. ,� -"
<br /> ':ifizs-=--rviaims:
<br /> ° ' 4S . .. . ... ... .... ... .. . .. . ...SOYQ�YIICQ TY% �' � ' '�L�l:::.;'
<br /> ' � .. A6 . .. . ... ... .... . .. .. . .. . ... . . FSptQ Ta7I �' • • �+�t`x:ei�`S�r
<br /> 47 .... ...... .... . .. .. . ... ... ... �.idr,:�
<br /> CiQarette Tax
<br /> '. ' 67 ... .... ... .. . . ... .. .... ... ...[.itte�Fee �_
<br /> . 68 ... ... . ... ... . ... . . . .. . ... .l.odging Twt � ;�;��=
<br /> ��. 71 ... .. . ... .. .intentaie f�lota�Canie�s Fuel Tax � . . � • ..���'�
<br /> � .r�r�s,:
<br /> � 81 ... . ... ... .Alotor Vehicle Fuols ImF or¢ing Dealer � • �;;`:�
<br /> ., � , SS . .. . . .. . .. .. . . .. . .. .. . . ... Aircraft Fuels r �
<br /> �
<br /> ; 91 ... ... . ... .. . . ... . . . .. . ... .Speclal Fueu t —
<br /> � �`�',
<br /> . . t �'�.l
<br />.. �._•' � 'I_Rt_!.
<br /> l
<br /> � .;��.r'�� (� - 1 ' �/i�. ' . .
<br /> • ' ti i� i •�- •i�1 ' '
<br /> ',i
<br />..�,/. r �';;��� ' '. . . . -
<br /> , ' ilt` � . � . �
<br /> . . ,�r, .. ;c}��`1r1�'
<br /> , _. � �� � ' . •'
<br /> - , . ..� ' " `� � � � c' . .. ,. .
<br /> ,��'. .•� .• � `� � \,�f • L `� � � �
<br />_ � �:�i(�{,,[ \'. �� � J -'— •-. r� � r�
<br /> t �
<br /> � .� � ��� � �� � �
<br /> � � � ��
<br /> �� C � t0
<br /> � r� � •��� � T r� ... ,.�
<br /> \
<br /> C, `�' "'i, ,�, ,= `�' ,_
<br />_ �, . ti �` �' `� �, ; � _ �:, ? .
<br /> . . � ,,\ � �r �' �- =` ' �
<br /> ;-..� �
<br /> . , �.._. � I
<br /> . �. . ,q; . � '••) � ` �= c- �
<br /> � � �_
<br /> ;� � .� _ ��.
<br /> : , c1 \� ,
<br /> . , ., .
<br /> . :.;�:� �
<br /> : .
<br /> . � � � _
<br /> .
<br /> - -
<br /> � - -
<br />
|