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,.. <br />~,, <br /> <br />~, <br /> <br />I <br /> <br /> iPISTRUCTFt3NS <br />PURPOSE OP FO RM. ThSs foam is to be us.:d ~,:~ tlc tie?StsK~ - - - <br />isen.~r[mcn; of Rf~, tnva t,u tFe purnosr i~f rntif mr. he ap r ;ate <br />s~ln'. artsh~~nries Lila[ a tie'nra,ka tiutlce X74 State I a~: (_ien rs beine <br />'" <br />i : <br />~lieda~last the t,lx oav.~r ;n~ii~a[eci ~n ibis form. <br />7 ha [as c:rtraarp n umber rvdes and the \ebraska tax prn;:rans they <br />rcpr~°:~n[ arr fish' hcl!~,,c <br />(71 ..... . . ......................Sales Tax <br />0' ....... ............... . . i~etaticl• I;sc Tax <br />Q3 ....... ............... Cunsltmcrs L`se Tax <br />....... .... ................Mari-mutual <br />i* ....... ..................... Estate Tax <br />1 ......: ............ Inr.)rtle Tax 11'i!hhoiu;rg <br />:_' ....... ............. Indiriilual lncvnle Tax <br />- ~'.~ .. .. . . - .. .....i'IC1lIC13i}' (Il Y)me tax - . <br />'_4 ... ' .... ...................Corporate Tat <br />-3~ ....... ..... iefhanical :Amusement Devi::. Tax <br />~? ....... ............Uocumrntary Stamp Ta±. <br />5? ....... ....................CtgarcttcTas ..._. <br />tit ....... .... . .............. Severance Tax - <br />?1 . . . . . . . . . Irl[frSFatl? .514%t or tdrt/f is i`;,fl ~,"!C <br />Sl ... ... ....DlutarVcltideFuels[ntpartingtY~alcr <br />3~ ... . .. <br />_ -. ..... .......... ...Aircraft Fuels <br />91 ....... ........... . ....... SIl-~cial Fuels _ ,; -_. _ ,. _ - . <br /> r <br />~.J <br />G7 !fi <br /> <br /> <br /> <br /> <br /> C'- ~ ~ <br /> ,Y N <br /> t <br />-7 ~ ~ - - <br />- •-7 <br />~ f ~ <br />r ~ ~ ~ <br />CCCiii ~ - <br /> tf1 ~ <br /> w~ t". y o u ~ ~ <br /> ~ ~ <br /> cn <br />C <br />~ <br />~ <br />~ <br /> 6 <br /> _~ <br /> <br /> <br />