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<br /> INSTRUCTIONS <br />PURPOSE O F FORM. This torso is to be used by the Nebraska <br />Department of Revenue far the purpose of notifying the appropriate <br />crninty au[hnriiies that a Notice of State Tax Lien is being filed <br />against the ta xpayer indicated on this form. <br />° - - ~ The tax category number .;odes and the Nebraska tax programs they <br />represent are iistrd below. <br />O I ... ............ Sales Tax <br />,~? Retailers Use Tax <br />04 .. ........ ..... Consumer Use Tax <br />IO .. <br />............ Par9-mutual <br />...... .. <br />i _ ...... ... Ittcome Tax Withholding <br /> ....... lydividuai Income Tax <br />_~ Fidtutary [ncamr Tax <br />.A ... ........ Corporaze Income and Franchise Tax <br />3k Documentary Stamp Tax <br />4J ... .... Nrthamcai Amusenten[ Devtce Tax <br />a5 _ .. .. Sevrr-,m.:e Tax <br />46 Estate Tax <br />q7 .. ... Cigatetie Tax <br />h' _ - .. .. _LttttrFee <br />hid .. . ... ... .. Lcxtptng Tax <br />1 intersratr Motor Carriers Fuei Tax <br />i .. ..... 4S<>tor Vrhxle Fuels imparting Denier <br />gc Air.raft Furls <br />a 1 Sprci;d Furls <br /> <br /> ~ ~~ <br /> ,~ e~ <br />r--~ <br />-• _ =a ~ <br />: m ~ m <br /> :'> <br /> <br /> <br /> <br />~,, ~ ~~~5.:~ - ~ to .~ <br />~~ ~ ~~,~ <br />~ <br />~` <br />R 'yi <br />~., ~'~ <br />~ ' <br />. <br />~ ..~ <br />0..~~T-• <br />q ` ; <br />1 <br /> <br /> <br />