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(~ .~. <br /> <br />4~9'~E~ <br />Pii'Ri OF PUAM. I'lpis form is to bs ,tried by the Netsraska r <br />1~-F ttr,t a! °.~.erae ~: t#~ putt of tustifyng a by apprap,~i: _ _ <br />county autharittes that a Naticc of State Tax I.Ien is being filed <br />a~utst rite taxpayer inericared an ierisitltm• <br />The tax category nutrrher ea~iah:~Israska tax ptsstns they <br />represene are iiited 'maw. _ _ <br />G2 ........................ Retallers Use Tax <br />{Di ~ ..... . .... . .....:..... Cvn~tmers'fkse-Tax <br />i0 ............................ Parrmutual <br />46 ................ ~ ........... Berate Tsx <br />2l ................... Inearrre flax Withhaiding <br />22 ......... . .......... Individual Income Tax <br />Y _ _..YI81t4`tary_IIlC4FBE_Eax - - - - <br />~4 _ ..:... _ ...Ctrrprrroiair~omrand Franchisc.Tax. <br />4A ............ {t4eiiranica! Amusemmst DEYEC.2 Tax <br />36 ... . . .... . ... . ..... Roettrturttary Stamp 1sx <br />d7 .. . ... . ....:...............Cigarette Tex <br />45 ..........................Severance Tax <br />_ :_ <br />1 .............Interstate Mvtvr Carriers Fue! Tax <br />82 ..... - .. , ..b4ntor Vehiele FueLwimpartingL3eaier _. <br />ti5 - . .......... . ..........Aircraft Fuels <br />9i Special Fuels _ ,. ... <br /> • <br />om <br />~ <br />~ <br />, <br /> .. <br />~ # <br />kk <br />'i:. e..- <br />~ ~ rn <br />~ ~ <br />~ <br /> ~ ~ ~ _ <br /> <br />' <br />C -.r ~ <br />_ <br />.~ a <br />. ~ <br /> <br /> <br />~ i X <br />t W ~ <br /> <br />~ <br />~i <br />_ <br />' ~ . <br /> <br /> 3 <br />W. 4 <br /> <br /> <br /> <br /> <br /> <br />