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<br /> <br />INSTRUCTIONS <br /> <br />PURPOSE' Of' FORM. ,This form is to be used by the Nebraska <br />Department of Revenue for the pUrpose of notifying the appropriate <br />county authorities that II Notice of State Tax Lien is being filed <br />,. against the taxpayer indicated on this form. <br /> <br />The tax category number codes llnd the Nebrasb tax programs they <br />represent are listed below. <br /> <br />. ... '. . . . . . .. ,.,.,...... Sales Tax <br /> <br />. , . . . . . . . . . . . . . Retailers Use Tax <br /> <br /> <br />Consumers Use Tax <br /> <br /> <br />. . . . . . . . . , . . . . . . . . . . . ., .... Pari-mutuel <br />. . . ..Income Tax Withholding <br />22 . . . . . . . , . . . . . .' .... IndlviduaBncome Ta)( <br />23 . . . . , . Flduda,ry Incmne Tax <br />24 . . . .Corporate Income and Franchise 1'a.)( <br />36 . . . . . . . DocumenulI'Y Stamp Tax <br />44 . . . . . Mechanical Amusement DeVIce Tax <br />45 . Severancl' Tax <br />46 Estate Tax <br />47 Cigareue Ta;, <br />/:;7 .. U:U~1 Fee <br />68 . . . Lodgirt,g Tax <br />71 Jntl~rst~te Motor Carriers Fuel Tax <br />~ 1 "I,hltor Vehicle Fuels Impomol< Dealer <br />85 . :\ir..:rafl Fuels <br /><) I . . Speclll.l Fuels <br /> <br /> <br /> '" <br /> ... '" <br /> VU\ ~"-l: <br /> '"" <br /> c:.... :r..... CO .':1 <br /> .... ii <br /> f:= '" i'Tf W .., <br /> Co 0 <br /> .... - ..;.\ f; 1 0.. <br />',~ t.M :z <br /> ~:I " .. " G) UI <br /> 3 ;a ..:. .... <br /> ::.. jN ("'..; ,~ :t'.) <br /> :;::... :~,A:l1 ;;; "" :" .. c:::l!> 0 <br /> =x '~~Rr'" 0 <br /> Q <br /> c::::::I :>ttl'.~~ 3 <br /> >- ...;) " <br /> ""-"..........4 \) 't '., <b <br /> CQ> I .. ...t:: a <br /> co . <br /> (I) . . . I\,) z <br /> p <br /> <br /> <br /> <br /> <br />