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<br /> tIIISTRUC'~-fOluS <br />PURPOSE OF FORM. Tftis fxmn is [u be u>ed lac tine ti;;1=ry~.ka <br />Department of Revenue-ior the purpos:: of ntatit}ding the app~;~;,rtate <br />{1'3#11 s}! i 3;,r£t iyS {it$i 3 ~eb`llJln~ NV ite (Sf SIa CB (aX LI't" 3-~ t~Et:l t: <br />~ :feda3t~lnst the tax~aya mdwatcd on dt~sform. <br />Cha ;ax cat egory munber Eoues and the itic;braska t.u programs they <br />represent a,c fisted below. ~. , .. <br />01 .. ......... .................SalesTatt <br />-'" <br />.... <br />.. ....... I2etuiles Cise T[ta~ <br />0-i .. .:......... :...... Consumer, I'se Tax <br />1 i .. x ....:.. _ . ... . :. ........ sari-mutucl <br />.- <br />. . . . . .. . . . . .. . . . .. ..... .. . I:~taii: ~f ax <br />~I . . ................. L.rnne Tax lt'ithholding <br />-- . - .... . ............. Iadividuaf Income Tux <br />__ ..... . . ... . .....Fidncfary ittrome "Tax <br />~~ .. .. . ......................Corporate Tas <br />~~ .. - .:...... hiechanicaf ~tmusemcnt D^cice Tax <br />_ Doeumeatary Stem, Tax <br />:~ <br />Cigareuc Tex <br />t; s .... ...................Severance Tsx <br />'I .. ......... .Intorstate!~isaor Carrie3s Fue! T2s <br />~: .. .. ~ _ .~ii~to'rirehicicFuetslnaaortuv*De:~er <br />s~ .. ..... ...... .. ..... .. Aisral*. Fuels <br />Sal Special Fuels <br /> rnr <br /> <br /> <br /> <br /> "~i <br /> ,,.~ <br />_7 - N <br /> <br /> <br />F~ <br />~' .. <br />_._ .~ <br />^ ~ <br />L.i l! <br />~y <br />rr <br />:T x' <br />~"~ r A V <br />7 fA <br />Y <br />~ <br />~ <br /> <br />;n <br />O <br />~ - <br />« <br /> .~ <br /> <br /> <br />~~ L <br />