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_.. <br />,:. <br />- ~ iiRi~'f4E'~1~i ; <br />~ OF FORRi4. Zhis fr,€m is to be twad by the '~cbraska <br />Department of Reremre for the purptiae of arrtifykag tho appropriate <br />¢outtiy atrtharities that a Pfatice of State 1'ax Lien is being filed <br />against rHe taxpayer irtdit~ated on this faint. <br />1 tie tax eateggry autitFxr tales 3:td rfie lea tax programs they - <br />xegrresen*_ acs lisrrd belovr. <br />?. OI .......................... . ..Sales Tex <br />_, <br />D2 ............ . ........... ketailers Use Tax <br />t>& ...................... C~msumers Use Tax <br />46 :..... . ...................... Estate Tax <br />1 .. . ................income Tax `t+ithholdiag <br />~2 ... ................. ladividtwi income Tax <br />23 ... ........ . .........FEdrwiaty incwne?'ax <br />2s . _ . .... _ ...Uorpr>nre irroome sari Frans~riree `Pax <br />44 ... ......... Rlechartica! Atmt~ment Derice Tax <br />36 ... ..... . ..........Docurnentary Stamp Tax <br />$7 .... .......................Cigarette Tax <br />43 .... ............... . ......Severance Tax <br />?i ... ..........Interstate Afotor carriers Fue! Tax <br />_ dt -.... .......h6txtorYehicleFuelslmpartingDe~ter <br />Is9 . . .. . . . . . .. . .. . . .. . . a1TCTaTT FUel3 <br />DTI .... ..:............. . ...... Special Fuels <br /> e <br />C79 <br />Q <br />~ <br />-3 <br />- "~ y._ <br /> ey <br />- <br />i <br />C ~ ~ ~. <br /> ~~'' 2 ~` t~~t _ <br />^~n ~ ~. t9 ~-' ~ - ~ r ..~ <br /> ~i <br /> -1 <br /> <br /> <br />A eYe- ~ .....psi f 1 C <br /> .~ <br />~ ~ ~ <br />~ <br /> pp <br />Y <br />k~ <br />FO <br />~. <br /> <br />