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<br /> IN&7RUCTIONS' <br />PURPOSE Of FORM- This .farm is to be used by the Nebraska <br />Department_of Revenue for the purpose ofnotifying the appropriate <br />county authorities that a Notice of State Tax lien is being filed <br />against the taxpayer indicated an this form. <br />+ d ~ ; The tax category number codes and the Nebraska tax programs they <br />represent are }fisted below. <br />03 ...... .......................Sales Tax <br />02 ...... ..................Retailers Use Tax <br />04 ...... ......... . ...... Consumers Use Tax <br />10 ...... . . ....................Pori-mutuel <br />21 ...... .............Income Tax Withholding <br />22 ...... .............. Individual.Iacome Tax <br />23 ...... ...............Fiduciary Income Tax <br />24 ...... ..... Corporate Income and Franchise Tax <br />3fi ...... ............. Bocumentary 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 />6$ .... . . .....................Lodging Tax ' <br />71 ...... .......Interstate Motor Carriers Fuel Tax <br />81 ....... .....Motor Vehicle Fuels importing Dealer <br />85 ...... ....................Aircraft Fuels <br />I ...... .....................Special Fuels <br />~ ~~ <br />,~~~ -~° <br />~` _~ <br />~~~ <br />l~, <br /> <br />rn <br />.~ . <br />r~ ~ '2. <br />"~ ~ <br />.3 <br />~~ ~.,~ <br />~` <br />ca_ <br />w n u~ <br />o -.~ m <br />~ <br /> y -, <br />w ~ o (~ . f.1..., <br /> :~ - <br />~ d. <br /> _ <br />_ <br />-} <br />l <br />A <br />~ ~._ <br />J~. <br />} ~ o <br />~ ~ " Q O <br />Q G <br />~ J <br />J .~ ~ ry <br />~ <br /> ~ Q <br />« <br /> I <br />t tv ~ <br /> t <br />I <br /> <br /> <br /> <br />