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1 <br />ENSr~ucTioHS <br />PURPOSE pF FORM. This t~:m is to bc; used by the Nebraska <br />Department of ltet~enue for the purpose o±' notlfy:ng ttee appropriate <br />caunt~: authorities :hat a Netiee of State Tax. lien is being filed <br />(~ against the taxrayet indicated o^ the form. <br />' ~~ 1 I ;j'~e-tac rateg-~n~ ~iwmbar ce9E+and the Nebraska tic progrzlmsthey <br />represent are ueted he!ow_ <br />G 4 .... ....... ....:.:.........Sales Tau <br />~= ... ....... Retailets Use. Tax <br />Q4 ........ .... ........Consumers Use Tax <br />1 Q ................... . . ....:: _ °azi-rautuel r <br />21 ...... , :........... Ir.cwme Tax W'ith~holding, <br />Z~ ....... o ... , : , ...... lndirdual (ncame Tax <br />'_.i ..... .......l~±duciarv ,nrome Tax <br />24 ........ : ~Cotporate Income and Franchise Tax <br />3b ....... Dacumerrta:v Stamp Tae <br />4t ........ ... Meet-.anieal Amusement i)evice Tax <br />#5 ..................:.......Severance Tate. <br />46 ...... . ..:...'.:...:.....:.:. estate Tax <br />a~ .. .::. , ..: _ .. . ...:........CEgarette Tax <br />b7 ......' .... . .. ... .. . ...:..Litter Fee <br />69 .....::.....:... . .... _ ... _ . [.adpjng Tax <br />1 .....`, . , , .. „ _lirterstaze Motor Carriers Faai Tax <br />81 ..... _ ....:Motor Vehicle Fuels tmpartmg skater <br />$i ..... .. .. rtircraftFuels <br />91 . . .. . .: . . . ..:.....:.:.. ' : ,:Special Fiiets <br />~ ~ ~ rn <br />rv 4 ~~ ~_ <br />c ~ /yyy~ <br />~ ~" "'C ~ r'1 <br />~~ ~ y ~ <br />_: *1 <br />~ .. ~ M <br />~ "'7 <br />`~ . "'h W <br />~ F ~ ~ 1~ <br />~~~ ~ r~~' <br />~~ ~ <br />~-;~, ~ <br />~` ~''~~ <br />u <br />- ~ ~ <br />~...~. <br />