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_._.._ <br />INSTP:JGTil3NS. <br />PURPOSE OP FORM..T7tu form is tb be used . by the Nebraska <br />Departrrtent of t~evenue for the purpQSe of notifying the appropriate <br />county authorities- that a Notice oC State Tax lien is being filed <br />against the taxpayer indicated on this form. <br />~# a r ~; t 1; The Lax category number codes and the Nebraska tax programs they <br />represent are listed below.. <br />Ql ............................. SaiesTax <br />t?2 ........................Retailers Lase Tax <br />04 ............... . ...... Consumers Use Tax <br />1D ............................Parrmutual <br />21 .................. .Income Tax Withholding <br />22 .... . ............... Individual lncame Tax <br />Z3 .....................Fiduciary inzaine Tax <br />` 24 ...........Corporate Income and Frarrcltite Tax <br />3b . ............. . .... Doc umeaiuy Stamp Zax <br />44 ......... .. Sfechartical Amtesement Ikt~sce Tax <br />45 .. - ..... . , ..........Severance Tax <br />46 ... - . ... ... .. Estate Tax <br />a't ... _ .. ..... cigarette rax <br />ii7 . . ............. .. .......Litter Fee <br />rig ............ .. . .......... Lodging Tax <br />'! ......... ..lntetstate AMtar Carnets Fucl Tax <br />9i .. k3otorVeliieieFuelslmponingDealer <br />SS aircraft Fuels <br />9i .. .. Special Fuels <br />,. ... ,: <br /> <br />tom, <br />iy~' /~'lw~ <br />n <br />~4 y <br />~ .3 ~ <br />fl1 <br />~LL W 1t <br /> <br />t. ~ v <br />~ ~`~ - l ~~ ~~ <br />~ ` ~ tJ ~ ~ y <br />` ~ ~ ~ ,_ ' <br />, <br />`.:x <br /> <br />~~ rte. <br />1 <br />Y l ~ L <br />~ 1 !~ <br />Q <br /> <br />~~ <br />`~ <br /> <br />~.. <br /> ,.~•r~ <br />e <br /> <br />