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<br />PUEiPOSE OF FOKA9.'Ihis i`ottn is to he used by th>_ ~zfiraska <br />!}epartraertt <.f Revenue for- the putt of notifyatg ttte appropriate <br />cnunty authorities that a tiotice rf Stata Tit Iaen is !%eing fled <br />cs.. , = agitx~t the taxpayer indicated on this form. <br />1_~ ~.t <br />The tax casegory number cedes and the Nebraska tax programs they <br />repre~-nt are listed be!o~. <br />a 1 . . .. .............. . .......:. Sa4es Tax <br />U~ ...... ... ..... ... Itetaiters Use Tax <br />~+ .............. .... .. C",resumers Use Tax <br />lU . .................. Pan-mutuel <br />3G ... .... ... ... Estate Tax <br />?t ...... ...... ... tnuin~e Tax Withholding <br />-- . ... .. .. ..... . .Individual Inctrmc Tax <br />:3 .......... ..........Fiduciary tncume Tax <br />24 .......... , C"urpcxate ltrocrme aad Franchise Taut <br />4a Mechanical Amusement pevice Tax <br />;h bcktementary Stamp Tax <br />-t' Cigarette Tax <br />~bi Severance Tax- <br />'! Interstate Motor (-arners Fuei Tax <br />is 1 Motar Vrhicle Fuels Itrtpcrrtin~ Dealer <br />i,5 Aircraft f=uels <br />`~! S~tal Fuels <br /> as .a w <br /> ~ ~ _. <br />m r _ ~ <br />~ <br />~ <br />~ ~ _ n ~ <br />~' ~ <br /> <br />~^ l ryry <br />~ <br /> 4 <br /> ~,~ <br /> F e <br />r , <br />"~ <br /> <br />~ ~: , i <br />~ ; <br />t i iw <br />h <br />e u:: i <br />..~. ...~ y,. ~ .,.. <br /> <br />~~ .L: N <br />u <br /> <br />