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t~lSTRUGTiONS <br />PURPUSE OF FoRtsn. This farm. is is be used by the Nebraska <br />Department of Revenue for tho purpose of potifying the appropriate <br />- county authorities that a Notice of State Tax. Lien is being filed <br />agaurrst the taxpayer[ndirated an this farm. <br />The tax eategary number codes and t5e Nebraska tsx programs [hey <br />"~' ~ '.' ~,' represent are listed belaw. <br />iii .. . ..... . . . . ................. Sates Tax <br />02 ............... . ...... . . Retai}ers Cse Tax <br />r)d ... . .................. Consumers Use Tax <br />10 ... _ .. . ..................... Patt-mutuel <br />21 ...................Income Tax Withholding <br />22 .. .:....... Individual hicome Tu <br />...... <br />s 23 . ....................Fiduciary Irrcome Tax <br />;' :A ...........Corpante btcome and Franchise Tax <br />36 ................... Doc:umea[uy Stamp Tu <br />as ............ Mtxfxawicat Arnnsemertt Device Tax <br />45 - . ~ ..... .........Severance Tax <br />db ... .......... ... ........ Estate Tax <br />47 .. ......... . . . . ......... .Cigarette Tax <br />_ 6? .. .... ......Litter Fee <br />tab ........ .............. . ... LculgiogTax <br />'I ............ Interstue Motor Carriers Fuel Tax <br />g i ........... Mator Vrlueie Feels Frrparting Dearer <br />- $$ .. - .. .. :13rCiaft FUCK - - <br />' 9! .. ... .. .... ... ........ Speciat Fueh <br /> <br />r '~ <br /> <br />c~ a <br />~ a <br />A <br />--~~, .~-~ '1 t'h <br />o , - <br />- <br />. <br />~ " <br />~ ~ es <br />~~~ <br />`~ <br />A ~ "~ U ~ ~ Yl <br />~ 1'i.~ Ca`J i <br /> <br />C <br />~+ti.~ <br />~~ <br />~ <br />w. <br /> <br />i'iRTk r $ <br />OS13f <br /> <br /> {.. <br />O <br />~C <br /> <br /> <br />