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<br /> <br />Y ~" k_..__ <br />6 <br /> INS7FtUCl°{~DfiIS <br /> Pl9RPOSE OF FORM. This form is to be used by the Nebraska <br /> Department of Revemue for the purpose of noeifying the appropriate <br /> county authorities that a Notice of State Tax Lien is being filed <br /> dgainst the taxpayee indicated an this form. <br /> ` The teat cattgory number codes and the Nebraska tax programs they <br /> represent are listed below. <br /> Oi .............................Sales Tax <br /> 02 ........................Retailers Use Tax <br /> 04 . . . . . ................. Consumers Use Tax <br /> 10 ............................Part-mutuei <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 . , .......... Mechanieal Amusement IIevice Tax <br /> 45 ...................... ...Severance Tax <br /> 46 ............................ Estate Tax <br /> 47 ...........................Cigarette Tax <br />_ 67 .............................Litter Fee <br /> 68 ...........................Lodging Tax <br /> 71 .............Interstate Motor Carriers Fuel Tax <br /> 81 ............Motor Vehicle Fuels Importing Realer <br /> 85 ..........................Aircraft Fuels <br /> 91 ....' .......................Special Fuels <br /> f <br /> <br /> <br />~;~, ~,'~, ~ ~ c~i l rv o ~ ~a <br /> ~~= w <br /> 0 <br />-~ <br />. <br /> C <br />~,~` ~: J~ ca .rl <br />\\ <br /> <br />r~ <br />~ <br />Of y <br /> <br />A !~ <br />\ ~ <br /> <br />~; <br /> ~~ <br /> i <br /> <br /> •.~ r, <br /> <br />4.~... <br />