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..~ <br />1l~iiJCTLQNS <br />PURPQSE t)F FORM. This form is to be used by the Nebraska <br />Department of Revenue for the purpose of notifying the apgropriate <br />r county authorities that a Notice of State Tax Lienss being filed <br />against the taxpayer indicated on this form. <br />- The tax category number codesand the Nebraska-tax programs they <br />represent are fisted below. <br />Ol' ............................. Sales Tax <br />02 ........................Retailers Use Tax <br />p4 . . . . . .. . .............. Consumers Use Tax <br />i0 ........................... .Parrmutuel <br />' 2 i .. . ................Income Tax Withholding <br />22 . . .................. Individual Income Tax <br />. .. . .. . ..............Fiduciary Income Tax <br />24 ...........Corporate Income and Francltisc Tax <br />36 ...................Documentary Stamp Tax <br />44 , ...........Mechanical Amusement Device Tax <br />45 ..........................Severance Tax <br />46 ............................ Estate Tax <br />47 ...........................Cigarette Tax <br />b7 .............................Litter Fee <br />68 ...........................Lodging Tax <br />7i .............Interstate Motor Cacners Fuel Tax <br />$ I ...........Motor Vehicle Fuels Importing Dealer <br />gg . . . ....................... Aixeraft Fuels <br />9I ............... ~............ Speciat Fuels <br />r . <br />`S <br />±*, <br />A ~ It, <br />N <br />,,F~ <br />rn <br />L~ <br />O !' <br />T { <br />p ~~ <br />ne <br />~ o <br />n <br /> <br />C7Cl.. G~ N <br />1'V O --d <br />'„i C T+. <br />~ <br />r'r <br />m ~ m <br />j <br />~ 7 <br /> <br />Tai ~ <br />O T <br />~ ~ <br />?. <br /> <br />Ts r ~ <br /> " <br /> ~~ <br />i <br />~' <br /> N a <br /> ~ ~ <br /> <br /> <br />~'-O <br />~~~ <br />i <br />4....... <br />