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<br />1 ~ 41 : t;s.> <br />p <br />V 1` <br />~' <br />~~ h <br />k <br />clr ~ <br />i-JI `~ h <br />~ 1 ~ ~i~ <br />e <br />u <br /> INSTRUCTIQIVS <br />PURPOSE OF FORfK. This [urn is to be used.. by toe NebrasJ`u <br />Lltpartment of Revenue for the purpose of notifying the appropraie <br />:ounty authori tits :hat a iAoti:;e of State Tas Lien is being fried <br />against the [;ixpayer indicated on this fcrm_ <br />The rax ::ategory° number cedes and the !'ebraska tax urovrams thry <br />represent are fis ted belcw- <br />01 .... ................ ........ Sales Ta~ti <br />D_ ... ...... . .. . _ ....... Be[ar]ers Use Tax <br />0=a .... . _ Consumers Use Tax <br />10 .... ....... . ........ ..Pazi-tn[ituel <br />~? .. Income Tax W'ithltoldin3 <br /> Individual Income Tax <br />Z.i .... ................ Fiduciary Income Tax <br />24 _ .. ... _ ...Corporate Income and Franchise Tax <br />3ti .... .. . ............llctiumertt:uy Stamp Tax <br />drl .... ........Die $anical Amusement i}evice Tax <br />~=~ .. ...... _ ..... .Severance Tai: <br /> <br />47 - ... - .. - ... _Cigazet[e Tax <br />ti' .. iit[erFre <br />tx9 . . .. ....... ..: . , ... _ Lodging Tax <br />7i _ _Iaterstate Motor Camera Fuel Tax <br />3I ..Maros ti'khicle Fuels Importing ikaler <br />~~ . . ..... . . .... .Aircraft Fuels <br />9i ....:. r . , . , .. . Sptcial Fuels <br /> ~ C* V <br />m rr <br /> A t~ <br />s <br /> w? a_~ <br />~ ~ <br /> iA <br />rn ~ ~' <br /> n ~,` <br />.. <br /> <br />N 4 Y~ <br /> <br />~ ~ f <br />.Z y /~ rn <br />W 7 <br />N s ~ ~ ~ ~, °~ ~ CL <br /> <br />t~ a <br />~ ~,v <br />~ ~ ~~ <br /> <br />_ S- ''~,. _ <br />` <br />Jl <br /> ~ '_F+_ fS <br />co y0. <br />W c <br />~3 <br />' <br />^ v <br />' w <br />`" -~.. <br />~, <br />''a z <br /> 0 <br />:~~ <br />,,~ <br />=~~ ,. <br /> <br />~.... <br />