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-: Pk~~.. <br />~F <br />~s <br />i <br />i~usrwucTtor~s <br />PURPOSE OF FORM. This Corm is to be used by the Nebraska <br />Department of Revenue for the purpasc of notifying the appropriate <br />county authorities that a Notice of State Tax Lien is being fired <br />l i ~ ; { J ~, against the taxpayer indicated on this form. <br />i_r.. <br />The tax category number codes-and the Nebraska tax progt'ams they <br />represen# are listed below. <br />Ol ...: .........................SalesTax <br />02 ........................Retailers Use Tax <br />I)4 .. . ................... Consumers Use Tax <br />10 ............................ Pari-mutuel <br />46 ............................ Estate Tax <br />ZI ...................Income Tax Withholding <br />22 . ................... Ir}d=viduat Income Tax <br />23 . ....................Fiduciary Income Tax <br />24 ...........Corporate income and Franchise Tax <br />4di ............Mechanical Amusement Device Tax <br />36 ...................Documentary Stamp Tax <br />4 / ............. .............Cigarette Tax <br />~5 ..........................Severance Tax <br />71 .............Interstate ':tiotor Carriers Fuel Tax <br />81 ...........Motor Vehicle FuelslmpartingDcaler <br />SS ..........................Aircraft Fuels <br />91 Special Fuels <br />........................... <br /> <br />o ~ <br />~~ a <br />~~ <br />t <br />.-, <br />'~'l <br />rn <` '+; <br />rn r ~ <br />4 <br />t ,• <br /> <br /> <br /> <br />m <br />ci rxa m <br />a <br /> <br />~'t ~- -br <br /> <br /> ~ ~ <br />- - v <br />` <br />g ' <br />~, <br /> <br /> <br />~ ~, ~ ~ <br />`° v~ ` Q~ T <br />cn O <br />o ~ <br />~, ~ a <br />L <br />