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<br />IPISTREICTIONS <br />PURPOSE OF FORM. This form is to be used by the Nebraska <br />Depar[ment of Revenue for the purpose of notifying the appropriate <br />county authorities that a Notice of State Tax Lien is being fded <br />t against the taxpayer indicated on this farm. <br />i ~'~ ~~ ~ `j ~ ~ <br />The tax category number codes and the Nebraska tax programs they <br />represent are listed below. <br />01 ...... .......................Sales Tax <br />02 ...... ...................Retailers Use Tax <br />04 ...... .................Consumers Use Tax <br />10 ...... ......................Part-mutuel <br />21 ...... .............Income 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 llevice Tax <br />45 ...... ....................Severance Tax <br />46 ...... ............... . ...... Fstate Tax <br />47 ...... .....................Cigaret[e Tax <br />67 ...... .......................Litter Fee <br />68 ...... .....................Lodging Tax <br />71 ...... .......Interstate Motor Carriers Fuel Tax <br />81 ...... .....Motor Vehicle Fuels Importing Dealer <br />85 ...... ....................Aircraft Fuels <br />91 ...... .....................Special Fuels <br />v a <br />r^ar~3 ~ -[:~ rn <br />V ~ `'~~ C j' n W ~ <br />~.~ mC ~ 4 ~ fi. <br />o,, `-, ; ~ z ~ w b <br />~° <br />= ~ _~~ <br />~_~ Waoo <br />~ ~. C <br />~ ~V~-, <br />~ G~ <br />~~ o 0 <br />A+~ ~ ~ . <br />1` <br />~~~'~? <br /> <br />I <br />-- ~. <br />