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t~ " . L ,l" :.. 0.t ~~ (', INSTRUCTIONS. PURPOSE OF FORM. ,This fOJ;Il1 is to be, used by the Nebraska Department of Revenue for thepllrpose.l>f notIfYing the appropriate c'lunty authorities that a Notice of State Tax Lien iI being filed against the taxpayer Indicated on this fonn. The tax category number codes and the Nebraska tax programs th~y represent are listed below. 01 . . ..,..,..........,. .. ..,.,.. SalesTali'. 02 . . . . . . . . . . . . . . . . . . , . . . . . Retailers Use Tox 04 , ..,1, ','. . . " ~f'. . :'.~~".\!,:)~ , . . . . Consumers Use Tax ]0..........,..... .'.......... .Pari-mutuel 2] .............:.:.. . Income TaxWitltholding 22 .. . . . ,', . . . , '. . . , '" . . . Individual Income Tax 23 . . . . . . . . . . . . . . . . . . . . .Fiduciary Income Tax 24 . . . . . . . . . . . Corporate Income and Franchise Tax 36 . . . . . . . . . . . . . . . . . . . Documentary Stamp Tax 44 . . , . . . . . . . . . Mechanical Amusement Device Tax 45 . . . . . . . . . . . . . Severance Tax 46 . . . . . . . . . . . . . . . . Estate Tax 47 . . . . . . . . . . . . . . .Cigaretle Tax 67 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Utter Fee 68 ...,. . . . . . . . . . . . . . . . . . . . . . . Lodging Tax 71 . .Interstate Motor Carriers Fuel Tax 81 . . . . . .MotorVehicleFuelslmportingDea1er 85 .. .. .. .. .. . .. .. Aircraft Fuels 9 J ............ .. .. .. .. .. . Special Fuels 'h,"~~ '" ~ ~ s:: ~~it l ~~ ~~~,~ r~~ ~t " .. q -:> .0 ~ '\/~, f' .. ~ f : . i:"- t -:. :.~ "'" "'" =- = .,.., "" CJ'> 0..... -~ 1> erG CO- I 1 -~ 0 ""'z ..", ::r 2 It? C')~ ~ ~C, l~ I c,' mi, :-:-- ., > w ;-;: '" = en ::>< >- ~~ cs-:~ ~.