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<br /> <br /> INSTRUGTiANS <br /> `PURPQSE QP FORM. This form is to inc. used b the ?lebraska <br /> Depaament of Revenue Cor thr purpose o.' notifying. the appropriaR <br /> count}' a uthorities that a Notice of Stxta Tax Lien ie. Faing fih:d <br />- q, ~ , ~ , ', , ., against th <br />~ e t:u:payer irdicate6 on this form. <br /> Che tax c ategory eumbe> cedes ar.d the NeCraska tsx rrograms they <br /> rapr sent are lisred be:ow <br /> O1 .......... ... .... ... . ..... Seies Ta;. <br /> 02 ........ . ............... Ketailers L`se Tax <br /> 04 ..... . .. .......... . . . .. Consumers Clse'Cax <br /> T O .................. ......... Parrmutuel <br />"' 27 ..... . .............Income Tax Withholding <br /> 22 Individual Income Tax <br /> 23 ...................Fi.duciary Ircomc Tax <br /> 2d ...........Corporate Income and Franchise Tax <br /> 36 . . .................Documentary Stamp Iax <br /> ~4 ............ ~Iechanica amusement Device Tax <br /> 45 ..... . .. ...............Severance Tax <br /> 46 .............: . . . . . . _ ....... Estate Tax <br /> 4? .... ............:...........Cigarette T;Lx <br /> 67 ..............:.....:.:.......LitterFee <br /> 68 ...........,....._:...:Lod~ngTax <br /> t ..Interstate Motoi-Caitiets Fue! Tax <br /> 8I .... Motor Vehicle Fuels Importing Deaier <br /> 8$ .................. . . ..... Ai~ctafi Fuels <br />' 9 i ................ .:: `....Special Fueis <br /> r~ ~' - <br /> ~1 ~ '-~ I?~l? <br /> .,~ J -s~ <br /> <br /> <br /> ~ 1, O ~ ~~~~ m <br />~ ~~ <br />~ <br />+' ~ <br />o .... - <br />y.~ ~,~ ,~ ~ <br />` <br />fV ~ O <br />` <br />~ <br />~ vy <br />~ <br />~~ ~- <br />~. <br />f <br />!~\ <br />~ <br />_ .~~ <br /> <br />~ <br />\ <br />(~ <br />!\ <br />U <br /> ~~ <br /> <br />~l <br />i <br />