Laserfiche WebLink
~_ . <br />^€ <br />Rt!!t@(?SE OF FQRIil. This. fonrt 1s: to ~ usrtt by lire Nebraska <br />Dcpast[eteet. aaf Reresut f~ tha gurpssa pftuitifyitfg the approprsate <br />c~.at[y authwitias that a 1$aticc of Starr Tic Lien ss btitrg f+.ie€i <br />. '-_ ' ~ ; , togsinst the [axpayer indicateu ort this form. <br />ltst tsar category number ec+[~s srtd t!~ ~a tax. jrr~rains-they <br />rerrxe~nt ate ~~~. below. <br />......... . ... . ...... e~ ~' <br />{Y~ ........................ iietailers Use Tax <br />i?4 .......... ...........: Consumers use Tsx <br />1{3 .......... .................. f'ari~;rtutuei <br />,. 4ti ......... ............. . .... Estate Tax <br />Zl ...... . ... ......... lncvnte Tax 1Vi:hhotding <br />~~ ...:...... .......... lttidttal Income Tax <br />Z~ ....... . ... <br />- ... _ .......1=t~iu~.rf€Y ituume.Tax. <br />Z4 ... , ..... , .Corporate ~ aad E'rsttehise Tax <br />44 ......... , .. htachanical Aittusen*.eut Cieuice Tau <br />36 Docuuaenrary Starrtp Tax <br />3; ...... . .... ..........Cigarette Tax <br />4S Scvcrarce Tax <br />' I . - lnttrststc ~lcntgr Carriers Fuel Tax <br />zil .. ..... -4lotorY`ehieitFuelstmp~s.trngfJeaitr <br />'SJ .. . . ?err=rait !Cis <br />93 S~neciai foals <br /> s. <br />~ w <br />E21_ at <br /> ~. <br /> ` <br /> <br />e"a ~ <br />~ <br />' ~ .~ <br />~ <br /> <br />cn <br />: as - <br />~ ,`,~'~ '~ '..' A~ ~ a <br />Y ~ ~~ <br />~ k ~ ~ i <br />~ 3p~ <br /> , <br /> <br />r~ ~ ~ ~ <br /> fly ~ ~ y <br /> <br />