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. <br />r __ - ._ <br />INSTRUCTIONS <br />PURPOSE OF FOAM. This form is o be used; by the: Nebraska <br />DepartmentofRevenuefotthepurpose.o`n~tifyingtheappiopriate- <br />county. authorities that a Notice-of Statr Tax Lien. is being filed. <br />- against. the taxpayer indicated on this form. <br />The tax category number codes and thz Vehrask~ tax programs they <br />represent aze listed below. <br />Ol ...: _ ........:...... _ .... _ ... Sales Tax <br />02 ..: :..:....:::...:. : ._ .. Retailers Use Tax <br />04 ..:..:.. . ....:..... - .. Consumers Use Tax <br />10 ............. .....::....:::..Pori-mutuel <br />21 .....::.:... , .... , . neome Tax Withholding <br />22 .. ......... ...... Individual Income Tax <br />23 ..:...... ..'.......:.Fiduciary Income Tax <br />24 .... _ ......Corporate•Income and Franchise.Tax <br />36 ....:... . .. .:... . . .Documentary Stamp Tax <br />44 ..... _ ......Mechanical Amusement Device Tax <br />- 45 ...........:.... . .:.. ...`. Severance Tax <br />4G ------------------- -------- Estate-Tax <br />47 ...:.......: .....:......:. .Cigarette Tax <br />67 .:' .......:..............:.'...LttterFee <br />6B .. - - - - - - - - -- ' - :.. , ......:: Lodging Tax <br />~I - '..... , - .::..Interstate. Momr Carriers Fuel Tax <br />81 ...........Motor Vehicle Fuels ImportmgDeaier <br />85 .....::.:.:.._ :.:.......:.Aircraft Fuels <br />91 ... : ::...........::`.. ... ; _Spectal Fue]s <br />_ ~ <br />~`= ,$ <br />t ? ~, r., ' -„ ~j ~i <br />~' ~. -~ m <br />z w -~ ' ~ <br />~ ~ ~~; <br />;n ~~„- o a6., N <br />~. ~ ~ ~ 1 <br />~. <br />~, <br />;~ <br />~c <br />U <br />l._ ~ ' ~ <br />