Laserfiche WebLink
1 <br />INS'Tiii3CTtONS <br />?tfRPClSE QF F'JRM. This fotrn is to lx useZ by i17f *lebraslca <br />~` Department of Revenue for tht pi~rp~~se of nafifying the appropriate <br />t coaaty authoriticl :.hai a ~Icticc of State Tax Lien is beut~.filed <br />asainst zlte taxpayer indicated en thisfartn. <br />The: rax :.ategozy numtwr codes zed tho Nebrastia tax pzogsama they <br />represent are 1Lated helova. <br />OL .......::....................SaiesTzx <br />02 ...... . ......... . .......RetailersUse Tax <br />i><i .. ........ ........ C:.asurters LTae-ix <br />SD .................. . ........ . .Farr ttutuel <br />21 .. . ..... . ..........income Tax iltitliholding <br />22 ..... . ... . ...... , ... Individua4lnt:oma Tax - <br />,. 23 ............... ... Fidacfary Income Tax <br />24' . , ... , .....Corporate tticome ~d Franchise Tau <br />' .:.. ~ JFS'i . ........ . ...........DocuptealFarJ $131x1 it Tax: <br />44 .:..........!~Icchanical Amusetnent Device Tar <br />45 . ......................... Seversnce'Pax <br />45 .......... . . . ............... Estate Tax <br />49 .................. . . . ......Cigarette Tax <br />b7 .............................Litter Fee <br />fi8 ...........................LodgingTax <br />71 ....... . .....Interstate Motor Carriers Fuel Taa <br />$i ...... , ....Matoz Jehlctc$uelsImporainglJeaier <br />85 ..........................Aircraft Fuels <br />92 .. . . . .... . ................. Special:.peels <br />~. `~ <br /> <br />hh '' `` <br />;~ -~ <br />('~v~ ~ `~ <br /> <br /> <br />~~ ~~ <br /> ~~ <br /> <br />~`' <br />4 ~ « ' <br /> <br />„r <br />~..~ ~ ~~ -~' <br />~ . <br /> a- <br /> , <br /> <br />~: . <br />`. <br /> <br /> +. . <br />... ~ ~ <br />7 <br />~ <br />'!~ ~ j <br />m <br />~ <br />- <br />~ a ~ ~ <br /> <br /> ~, n ~Y <br />- <br />? <br />:l o <br /> i <br />~ ~~. <br />~" ~.. ». ~ <br />J _ ~ r~i bA <br /> s. <br />~ ~ <br /> m ~, <br />f ~ ~ <br /> <br /> <br />