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INSTRUC7ION5 <br />'~. ~--~. <br />~~`, <br />~~ <br />s; ~ <br />~~ <br />_ ~ <br />-.._ - s : <br />PURPQSE QF FORM. Ths form is to i1a used by the tiebrsska <br />Department of Revenue for the pttrpoa of not;fying the appropriate <br />;r~u:3zti° su'.;.arities uiat the t~i~~.~sk~ tiuuce of Sts:e iaa "tien un %ie <br />:n their oftsce is'V eict~ dischazged. partiall} re.eased or suhiudin~ted <br />~' <br />n ~. <br />0 <br />t <br />~ ~ ~ <br />is p -a <br /> <br />C~ ~ ~ rn <br />Lrn `~7 <br />s ~ ~ ~ <br /> ~ ~ <br />o -n <br /> <br />~~ ~ <br />- Qm <br /> <br /> ~ t~ ~_, O '~'~ W (~ <br /> <br /> V # ti <br />o <br />o <br />~ ~ ro <br />~~ <br /> 0 <br /> <br />',~. <br /> <br />