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wsp <br />a <br />—4 <br />0 <br />IMMUCTIONS <br />PURPM ®F FOW This form is to be used by the Nebraska <br />DcPartment Of RCVDnw for the purpose of notifying the <br />00 <br />appropriate <br />County authorities that a Notice of State Tax Lien is being filed <br />the taxpayer indicated on this form. <br />The tax category number codes and the Nebraska tax programs they <br />represent are fisted below. <br />01 ............................. Wes Tax <br />Ol <br />. ................... I .... Retailers Use Tax <br />04 ... .................. Consumers Use Tax <br />10 ............................ Pari-mutuel <br />21 ................... Income Tax Withholding <br />C:) <br />22 .................... Individual Income Tax <br />23 ..................... Fiduciary Income Tax <br />24 ........... Corporate Income and Franchise Tax <br />36 ................... Documentary Stamp Tax <br />44 ............ Mechanical Amusement Device Tax <br />45 .......................... Severance Tax <br />46 ............................ Estate Tax <br />47 ................. ......... Cigarette Tax <br />67 ............................. Litter Fee <br />68 ...... I ..................... 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 />a <br />—4 <br />0 <br />00 <br />CXI <br />C:) <br />"Z <br />a <br />R <br />--I <br />—4 <br />00 <br />CXI <br />C:) <br />"Z <br />47- <br />01) <br />cn <br />R <br />--I <br />