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t- <br />{ <br />INSTRl1CTtONS - . <br />PURPQSE Qf FORM. This Corm is :o be used by the Nebraska <br />Drpartme±t* of Revenue for the puepyse of aotif~icg the approgriate <br />county authorities that a HloLica of State Tax Lien 9s being ~'" <br />against the taxgaytz ntiieated otr.ihis #orm. <br />1 ,--- i ;~ tax categtxy aumbet nodes and the r`ebzaska tax prograans thep <br />represent are3istedbeiow. <br />G i e ........... ... ''5sies Tax <br />.... ...... <br />02 ...... .. , . Retailers Use Tax <br />`~ .. . _ . Consumers lise Tax <br />ifl :'; ...........:..............Parr-mutuel <br />23 .. . ....... . ...:.... Income Tar Withholding <br />22 .. `.. , , , ... „ .. , ,„ _ „ Indisiduai lttcome Tax <br />'~ .: . . ............:....Fiaucidty Ltrwme Tax <br />24 ... - .. , : , . Cmpotate Fncomr and F~artchise Tax <br />36 ................. .Documentary Stamp Tax <br />... . <br />~4 -;echanical Amusement l~e.~:ce Tax <br />45 . Sevezant:e Iax <br />~ .:. ...::: .:. , : - ..:'.. £scate Tax <br />;3 ..... . .. . :.....: : :....:... Ci~antte Tax <br />67..:... ::,....:.-~--, .....l.azterFee <br />~ ... ..:.'; • ...... .......: . Lodging Tax <br />7l ..... ..interstate Nestor Carriers Fuel Tax <br />,.. .... <br />83 :.Mot2u }lehicle Fuels 3mpotYiag lkaier <br />85 ... , ...:. . ... : .. . .. . Airceaft Fuels <br />93 ...' ~ .. , , ..: ................Specla3 Fuels ' <br />hs <br />a "'C-'~" (~ 7 <br />~~ <br />~ ~ ( ~_~ <br />~' ..~' ""~.'"T' • 'd <br />~ 4~ y_ a, <br />an ~,.. <br />~ ~~ ~~ ~ ~~~m=~ ~ <br />~~ 1 ~ ~ o <br />~ ~, ~ , <br />~~~ ~ L: <br />~ \\, ~ ~ M, <br />1 <br />4 ~ ~._ <br />~` <br />~~ <br />~;:~. <br />