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r <br />PURPOSE OF FORM. T[»s form. is to be used by the Nebraska - _ <br />- - ~ - - ~ -Department of Revenue for the purpose of reofifying the appropriate - _ . . <br />county authorities that a Notice of State Tax Lien is being bled <br />against the taxpayer indicated on this Form. <br />' t' ' `-' ~ .;The tax category number codes and the Nebraska tax progams~they - - - ~~ .- -. <br />represent are listed below. - <br />. .- - ___ ..:.: -. _ 01 ....:........................Safes Tart _. _ - - -_ . r <br />02 ........................ Rezailen Use Tax - <br />' - - - 04 .......:............... Consumers Use Tax - - ~- - <br />- IO ........~ ....................Part-msstuel ~ - <br />.. -- _ 46 ...... ...................... Estate TaX ~ _ <br />_ _ 21 ...... ............. Income Tax Withholding - <br />-..... - 22 ....... .............. Individuallncome.Tax .. . <br />- - - :.. '. 23 :........ . ................Fiduciarydncome.Tax <br />24 . __._. .....Corporate Income andiFtanchise Tax- <br />. _ - - `- - - - - -.- ~ .-- 44 . ::. .... ... ... ... Mechanical Amusement Device Tax --' - <br />36 ...... ......'. .'.....Dticumentary Stamp Tax ~I - - '. <br />47 ...... ......:.......:..:...Cigarette Tex <br />-.. -- '. - 45 ...... ..................' ..Severance Tax r <br />- _ - 71 ...... ...... . .Interstate Motor Carriers Fuel Tax '. - -: <br />- ~ '~~ 81 ...... .....Motor Vehicle Fuel$Importing Dealer ~, <br />85 ...... ....................Aircraft Fuels '. '~, <br />. ~,. _ .. 41 :..:.. ....... ........:......Special Fuels ' ' <br />0~_ ~ -i ~ e ~ ~ e'n <br />_ _ G a 3- F.. ?. <br />O ~ 'r~7 A <br />[1 Y s O 'n ;+~ <br />Q. ~ w m T <br />`~` ~' m vwi ~ ~ <br />~~ ~ O <br />-'1 <br />I <br />a <br />Lam; ' <br /> <br />