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__. <br />= INSTRUCTIONS - <br />PURPOSE OE FORM. This form is ,to be used by the Nebraska <br />Department pf Revenue foi the purpose of notifying the approgriate <br />r counig authorities that a Notice of State Tax LSen is being filed <br />~k ~ +~ ~ {.1 ,against he,taxpayer Indicated on this form. <br />s > (, ( j <br />e tax category number codes and the Nebraska tax programs they <br />represent are listed below. <br />Ol :....:: , ....... _ .............Sales Tax <br />02 : .......................Retailers Use Tax <br />04 ......::...:...` ....:.. Consumers Use .Tax <br />IO .:...:, ...........:.....:...Parrmutual <br />23 ......:............Income Tax Withholding <br />22 ....::...::...::.... Individual Income Tax <br />23 .....................Fiduciary Income Sax <br />24` .: , .....:..Corporate Income and Franchise Tax <br />36 ....:..........:..:Documentary Stamp Tax <br />44 .... - .. _ .:..Mechanical elmusemenrDevice Tax <br />45 .....:....................Severance Tax <br />46' .:.. ...:.......:..:........ Estate Tax <br />47 - - - • . . . . . . . ..:...:..:.....:Cigarette Tax <br />67 ...: ..:...............:.. . . . . Lit[e r Fee <br />ti8 .........:...c:.:.......,..LodgingTax <br />71 ....:.:.::...Interstate MotorCarriers`Fuel Tax <br />8I .' ....... -Motor Vehicle Fuels Importing Dealer <br />85 .........:......:..:.....: Aircrafr Fuels <br />91 ... : :. . ...:.... ..... _ ....:Special Fuels <br />.` <br />i ~1 Cy rn <br />~V~J~\{ N 4 ~ 7 <br />W ~ ~ ~ ~ N <br />A 7'V '' T <br />~ ~ ~ H <br />.TS a ~ an ~ ~ <br />+,, t ~ ~ <br />~~ <br />g <br />~•\ ~ <br />~~ , ~ ~~ <br />~1 <br />,~ <br />.J. <br />L._... <br />