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[ <br />INSrR~-GTion-s <br />PURPOSE OF FORM. This fvrnt u to be used by the Nehraska <br />Departmen[ at' Revennz fbr the purpose of notifying the apprapriatz <br />;" , < co[[erty°atr`tlioritias that a Notice a[ State Tzx Lien ss hzing tiled <br />against the taxpayer indicated an this form. <br />The tax catzgory nunahrr cedes and dhe Nebraska cax programs they <br />represent are listod bzh.rw` <br />01 ...... . ......................Sales Tax <br />~~ ......... . .............. Retailers lice Tax ; <br />0~ ...................... Catrsumers Ltse Tax <br />I0 ............................ Pari-mutuet <br />d6 ...... ................... Estate Tax _:'; , . <br />21 ...................Income Tax \Rithholding <br />.............. [ndratdual Income Tax <br />__ .,_.. <br />?3 ... _ ................Fidw:;ary lncortre Tax <br />?4 . , .........Corporate lacctme and Francl[ise Tax: <br />.~ .... - ...... ,'vlerhan3cai Amusement Devlez Tax <br />36 . - - .. . - ....... .I3beumentan=Stamp Tax <br />4' ...... - . .. ..........Ciearztre Tax <br />4~ .. .. ... . . . . . ..... Szverance Tax - <br />"1 .. .. .. Int_a: stet a ?vluror ('arr;ers Fue! 'fax <br />~3i .... ......SlctasVehirfeFttelsimpart:~ngUzaier <br />i;~ Aircran Fuels <br />91 - - Special Foals <br /> ~a ra ci ^' <br /> <br /> ~ ~ <br /> ac. ~ <br />3 ~~ ~ ~ ~ <br />tTV <br />P~ r W ~' :n <br /> j <br /> <br />' <br />~' <br />A• <br />V <br />p <br /> <br />~S <br />'~. 1 <br />-1 <br />~ [? f tf <br />. <br />_ <br />~ ~ f ~ ~' <br />7 tw ~ t'~ <br /> <br />~, tV t.~ Q <br /> <br /> <br /> <br />