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<br /> tNST~t~7'to~ <br />PURPOS[ OF FORM. This form is to be used by the :vebraska <br />Qeparttrtant of Revenue for the pub ofnotifying the appropriate <br />county authorities th at a Notice of State Tax Linn is being filed <br />' against the taxpayer indicated nn this form. <br />~, The tax categ: ry num ber-cages and tlte3~fetrraska tax programs they <br />1 represent are fisted bel ow. <br />-, _ X11 ...:... , :'. Sales Tax <br />(?<' .. ...... ...............Retailers Use Tax <br />U4 ......... ............. Consumers Use Tax <br />10 ......... ...................Part-mutuet <br />46 ...... . .. ................... Estate. Tax <br />21 ......... ..........Income Tax Withholding <br />22 ......... ... ....... Individual Income TeX <br />23 ......... ............Fidtaciary Income Tax <br />~4 ...:..... ..Gorpntata Income and Frastedtisr TBx' <br />' ~ 44 ......... ... Mechanical Amusement ]kvice Tax <br />36 ..... ... ... '.. .... Documentary• Stamp Tax <br />~t7 ......... ..................Cigarette Tax <br />45 ......... .................Severance Tax <br />71 ......... ....Interstate 4lotor Carriers Fuet Tax <br />. 8I ......... .. btntor Vehicle Fuels Importing l?ealer <br />SS ......... . ..... . ......... Aircraft Fuels <br />91 ......... ........ . . Special Fsets <br />`~+t <br />~' <br />`v <br />~ry,'`~ <br />~s~ <br />i <br />ttiV <br />W Q <br /> C-' ^~ <br /> <br />~ c9 <br /> " <! <br />~ ( ~ <br /> _ <br /> <br />Sa . <br />r <br />~..~ <br />n.^ ~ y <br /> <br />~ + <br />~i ~ a <br />w C7 <br />n <br /> <br />o co E-~ c <br />3 <br /> `~'.°~ ~ t <br />9 <br />Q ~ + <br />t ~ ~ <br /> <br /> 0 <br />• ~.. <br />,d <br />`~ <br />. ..n.y~ <br /> <br />