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x L)cTow <br />PURPOSE OF FORM. <br />This form is to be used by the Nebraska <br />Department of Revenue for the purpose of notifying the appropriate <br />County authorities that a Notice of State Tax lien is being filed <br />sgeinst the twtpayer indicated on this form. <br />The tax category number codes and the Neb <br />represent are listed below. raska tax programs they <br />42 ...... ............... Sates Tax <br />• .... Retailers Use Tax <br />44 .... .. ......... Consumers Use Tax <br />10 ............ Pari- mutuel <br />21 ................... Income Tax Withholding <br />22 ....... , , ...... , .. Individual Income Tax <br />23 ...................Fiduciary Income Tax <br />24 ........... Corporate Income and Franchim Tax <br />36 .... ...... ......Documentary Stamp Tax <br />44 ............ Mechanical Amusement <br />17evice Tax <br />45 .......................... Severance Tax <br />47 ... ....................... Estate Tax <br />67 ... ' ......................Cigarette Tax <br />68 ............................. Litter Fee <br />71 ...... Lodging Tax <br />• • • • . • • ....Interstate Motor Carriers Fuel Tax <br />81 ...........Motor Vehicle Fuels Importing Dealer <br />85 .......................... Aircraft Fuels <br />91 ........................... Special Fuels <br />00 o cn <br />c v Co —,t <br />` ;•--+ <br />Pl c + <br />,� T 0 <br />o � <br />� <br />� <br />.,� :�• m <br />r <br />Cn " Cil <br />U <br />