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INSTRUCTIONS' <br /> >'URPOSE OF FORM. Thi=. t~rtn u to .be used-bythe'Neb:aska <br /> Department of Rerenue fir the purpose of natffytng tEa appropnafe <br /> county authorities rh:a a Naticc of S#a#e'Ta; Lien es being, filed <br /> against ttte taxpayer indicated on this#orm. <br /> The tax categon number codes'and the Nebras!ca tax nro3rams the <br /> y <br />represent are listed below. - <br /> 01 ................: ....:.. c :. _ Sales Tax <br /> 0-' ...... '...:.....Retailers Csc Tax. <br /> 04 ........ ........ .: Cansamers T1se Tax <br /> 10 ................. .......:.. Pori-mn tuel <br /> l ~ - ~ ~ ~ ~ - - ~ ~ ~ ~ - - .....Income Tax Withho?dine - <br /> Individual Lxorne'I'a;< <br /> =' ~ ~ ~ ~ ~ ~ ~ ~ ~ - . - ~ ~ ~ Fiduciary lacome Tax <br /> ?4 ~ ~ ~ ~ .......Corporate Income and Franchise Tax <br /> 36 ....... - . Diu umentary Stamp Tax <br /> 34 ............ Slechanical .#musemant Device Tax <br /> <br />.:.. <br />~~ . ............... ..Severaztce Taz <br /> 46 .......... . . ... . ....... Estate Tax <br /> -3? <br />.. , ... ..Cigarette 1'ax <br /> 67 <br />. . . . . ............ ..I_ftter Fee <br /> l5 ...... ..:.:.. _ ... Lodpng "lax <br /> 71 - ~ - - - ... ~ , .frrtersta#eMaror Carriers Fuel Tax <br /> `~ I .Motor Vehicle Fuelslmporting Dealer <br /> ~-`~ Aircrai~ Fuels <br />.. <br /> 91 ... ............ ... <br />.. Special Fuels <br /> <br /> <br /> <br />~ ~~ ~ ~~ <br /> <br /> <br />~ <br />~. ~ <br />- ~ <br />R, 3 - ~ m e <br />`1 <br />~~ <br />~ <br />~~ _ <br />o ~ <br />~ r ~~-,SiV <br />~ ~ ~ " <br />~~~ <br />. ~. <br />07 <br /> <br />t,. t <br />~ ~~~ v <br />ti <br />t\ <br />,\ <br /> <br /> __...,.~ <br /> <br />