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<br />",,.,.c._,_.,,,. <br /> <br />t!IlIiM: ,,,,,,~,-",,,,,,,,,~,~. ':~_"'~~':,'i'~' <br /> <br />r <br /> <br />R\~. <br />~:.)~ <br />.~~\v ~. <br />0\~~ <br />~~, ~ <br />(\~"').. \\ <br />K ~ '>>.~ <br />,~ ^~ l <br />~ ~~,\ <br />~\J <br />("\ <br />~ <br />r'- <br />.~ <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 Lien is being filed <br />against the taxpayer indicated on this form. <br /> <br />The tax category number codes and the Nebraska tax programs they <br />represent are listed below. <br /> <br />01 <br />02 <br />04 <br />10 <br />21 <br />22 <br />23 <br />24 <br />36 <br />44 <br />45 <br />46 <br />47 <br />67 <br />68 <br />71 <br />81 <br />85 <br />91 <br /> <br />. . . . . . . SalesTax <br />. . Retailers Use Tax <br />Consumers Use Tax <br />. . . . . . . . . . . . . . . . . . . Pari.J1lutuel <br />. . . . . . . . . . . Income Tax Withholding <br />. . . . . . . . . . . Individual Income Tax <br />, . . . . . . . Fiduciary Income Tax <br />. .Corporate Income and Franchise Tax <br />. . . Documentary Stamp Tax <br />. . Mechanical Amusement Device Tax <br />, . . Severance Tax <br />Estate Tax <br />.Cigarette Tax <br />, . . . Litter Fee <br />, Lodging Tax <br />. .Interstate Motor Carriers Fuel Tax <br />. ,Motor Vehicle Fuels Importing Dealer <br />. . . Aircraft Fuels <br />. , ,Special Fuels <br /> <br />'\/\ <br />"" ~"j <br /> <br />:~;: <br /> <br />.','1 <br />.'tJ <br /> <br />L <br /> <br />L <br /> <br />'... <br /> <br />"",,~~~~,,"'o <br /> <br />"" <br /> <br />" <br />~ <br /> <br />~ !,~ <br />~-::... <br /> <br />coi <br />t~ <br /> <br />, '; I-" Z ~ i-?-l_:,; (A <br />., f 3 ~ ~ 0 <br />:"':~'-';~...' ~ m ro c., 0 <br />, r: I ~. i ,- . (1'1 2 <br />~r~'"'" ~ <br />-~. _ (J1 ~ <br />:: I" III (1'1 ,,- <br />~ <br /> <br />"'" <br />1T'! <br />-0 <br /> <br />~.r'.~- ,... <br />,.,. ;:ij <br /> <br />...., <br />= <br /> <br />"" <br />,;,.. ." <br /> <br />:>;;>0 <br />::::% <br /> <br />r..o <br /> <br />~ <br />c.o <br /> <br />.~ <br />0_ <br />"Z:: <br />U <br /> <br />...J <br />