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3 <br />1 IWSFRUCTIOAIS <br />PURPOSE OF FORM. This fcrm is to be used by the Nebraska `'-~'~ <br />Department of Revenue for the purpose of notifying the appropriate <br />1 county authorities that a Notice of,State Taz Lien is being filed <br />against the taxpayer indicated on This~t`omt. 1~ ;' <br />The tax category number codes and the Nebraska tax programs they <br />t represent are fisted below. <br />t ; ~ . r <br />Ol .............................Sales Tax - _ . <br />g <br />~~ 02 ~ ~ ~ ' ~ ~ - - ~ • ~ ~ ~ ~ ~ .........Retailers UseTax -' ` - <br />04 ~ • ' ~ '~• ~ • ~ ~ - ---~ - ~ ~ ...... Consumers Use Tax ~- ~ - <br />•~ .. I0 .... r..... r, ...-... ~ .............. Part anutuel <br />-y!i .. -.. .. ~. ~ .................... Estate Tax <br />21 .......... ;„_,....... Income Tax Withholding <br />,,- <br />~= ' ' ' ~ ~ ~ • ~ ~ ~ ~ ~ - _ ~ ~ ....Individual Income Tax <br />~3 ' ' ' • ' ~ ~ ~ ~ ~ ~ - ~ • - ~ ~ ~ ...Fiduciary Income Tax <br />24 • • • • .......Corporate Irwrome and Franchise 7xx <br />-04 ............Mechanical Amu~ment Device Tax <br />36 ~ ~ ~ ~ ~ ~ ~ _ • ..........Documentary Stsmp Tax <br />'fl ~ ~ ~ ~ ' ~ ' ~ ' ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ .....Cigarette lax <br />45 ~ ~ ~ ~' ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ _ .......Severance Tax <br />~! _ ~ .........Interstate Motor Carriers Fuel Tax - : <br />~~' ~- &i '...........Motor Vehicle Fuelslmporting Dealer - r • <br />85 ............. ............Aircraft Fuels <br />91 ............ .....Special Fuels <br />as :~ :,, <br />j ~ c. <br />.' v ~© v <br />r., ~ ~ ~ ~ <br />m ~ ~ Z <br />O <br />1~ <br />Q <br />U <br />L_ <br />