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<br />I" <br /> <br />INSTRUCTIONS' <br /> <br />PURPOSE OF FORM..This fonn 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 Uen is being med <br />against the taxpayer indicated on this f!lnn, <br /> <br />The tax category number codes and the Nebraska tax programs they <br />, . U t t. .. ,.~sent are listed below, <br /> <br />01. , , , , , , , ' , , . . , ' , , , , . . . . , , , ' , , Sales Tax <br />02 ' , , . ' . , , . . Retailers Use Tax <br /> <br />04 , , , , , , . , . , , ' , ' , , . , , ' . , Consumers Use Tax <br /> <br />10 ' . , ., , , , . , ' , , ' , , , , , , , , ' , . , , ,Pari-mutuel <br />21 ' , , , ,Income Tax Withholding <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 /> <br />~ <br />i) .~~ <br />t'.. '/.!i ",,,,, <br />,~ U, ,) '(', .--...., <br />-......:: - .... <br />~ r ~\:;~ <br />~~ .~ <br />. "oJ! .".... ~ "', <br />-, ,",~ <br />'^ -.~..... ~: <br />;"'~.",,;' <br />i\. ---.",~. <br />~ n~ <br />~. ,,' \ '9:. <br />1 ~ '''-'1' <br /> <br />~' "-./ <br />~ <br /> <br />45 <br /> <br />, . Severance Tax <br />. , Estate Tax <br /> <br />. . .Cigarette Tax <br />. , , . Litter Fee <br />. , . . Lodging Tax <br />Interstale Motor Carriers Fuel Tax <br /> <br />. Motor Veluele Fuels Importing Dealer <br /> <br />Aifcraft Fuels <br /> <br />. . Speeia! Fuels <br /> <br />46 <br />47 <br />67 <br />68 <br /> <br />71 <br /> <br />81 <br />85 <br />91 <br /> <br />,.;-,., ",-"""-",-"-.,,,.,,,,,~ 'l!l.\.."_ 'Il'lItv,~_"~';""~~ <br /> <br /> . "' <br /> :> <br /> = ~ (i) ii <br />'~ ..... <:> .< (1J <br /> c::> i <br />:::I: ;~ ~ W <br />-. -:' "'" <br />w ~. = ... , III <br />m . -:.'..., C')~ ... <br />",--> <br /> - ..., "'.... ti;;;: _ i' <br />-. Jc~~ <br /> ;po C; <br />, =:r 3 <br /> tIl <br /> = ;: \ 0 a. <br /> ~~ .. CD Z <br /> ...... (J> \ C11 <br /> ...... .,.. I P <br /> <br />L <br /> <br />L <br /> <br />- <br />,c~~ <br />~, '-'- <br /> <br />LJ <br /> <br />-.J <br />