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IINSTRUGTIOIV5 <br />PURPOSE OF FORM. Tltis form is tea be ugad by the Nebraska <br />Department of Revenue for the purpose of notifying the appropriate - - <br />county authorities that a Notice of State Tax Iren is being filed ~- <br />against the taxpayer ind[cated on this form. ~ _ <br />The [ax category number codes and the Nebraska tax programs they <br />f <br />represent aze lis[ed below . <br />Ol ........... ..................Sales Tax <br />02 ........... .............Retailers Use Tax <br />04 ....:...... ........... Consumers Use Tax ~ - <br />-~ 10 . . ......... ................. Pori-rnutuel <br />46 ........... ................. Estate Tax <br />21 ........... ........Income lax Withholding <br />2'_ ........... .........Individual Inrome Tax <br />23 ........... ..........Fidue:iarylncomeTax <br />24 ........... Carpamte Income and Franchise Tax <br />- 44 ........... .Mechanical Amusement Device Tax <br />` 36 ........... ..'......6ocumtntary Statnp Tax <br />' 17 ........... ................Cigarette Tax <br />45 ........... ............... .Severance Tax <br />71 ........... ..Interstate Motor Carriers Fuel Tax - <br />SI ........... MutorVetaicleFuelslmporungDealer <br />Si .......... . ...... . ........Aircraft Fuels <br />91 .......... ~ ...... ; .'~. ~......, ..Special Fuels <br />~a <br />- <br />rte.- A <br />~*t I <br />. <br />T ~ <br />~ fp <br />., O.. <br />... <br />V. "t ~ .,_ 1 <br />~ ~ ~ <br /> ~.. t,: <br />n <br />`\ <br />~ ~ C <br />.. C ? 'O ~ " <br /> <br />.°' ur L <br />0 <br />U <br /> <br />t <br />