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y <br />fN'l~fl~tt}t+tr~ <br />° PUiiPOSE OF Ft)RM. Thix farm is tp be used by the Nebraska <br />Departmaut of Revenue for the lrarrpose.'af nrrtifvirrg xhe apprapriate <br />county autharltlas that a Notice of State Tax Ue-n is being filed <br />against the taxpayer indicated an this form. <br />The tax category number codes and the Nebraska tax programs they t <br />represent are listed below. (t <br />- - Cii` .::.: ' .......................:Sales Ts~ <br />0,. Retailers Use Tax '` <br />[i4 :.. : ...:.............. Consumers Use flax <br />3Q ... . .... . .......... . ........Parrmutuei <br />4b ............................ Estate Tax _ <br />2I ...................Income Tax Withholding <br />22 ....................Individual Income Tau- _ _ , <br />23 ..................... Fiduciary• Income Tax <br />24 ...........Corporate Income and Franchise Tax. <br />4A ............Mechanical-Amusement Device Tax <br />35 ...........:....... Documentarg Siamp Tax <br />47 .. . ........................Cigarette Tsx <br />4.5 .. .. .. " . .. .. .. $CYeranCe TdX .. <br />7l .............[nterstate Mater Carriers Fvei Tax <br />81 ..........:Motor Vehicle Fuelslmporting Deafer <br />SS ................. airrdit Fuels <br />3 k ....................... ...Special Fuels <br />°k <br />~,` ~ ~:~ <br />"t <br />~ (~` <br />~ ~~ `~. <br />~~..-- <br /> <br /> <br />" <br />~ -~ <br />s~ ~ <br />~$ <br />~ <br />-a ~ <br />,~ a <br />~ :.a ~ <br />~ ~ <br />_, ~ <br /> i <br />.~ r:,, °~ <br />3 a. <br /> ~ ~; <br /> <br /> <br /> o .~ F+ e <br /> <br /> c~rr ~ t. ~ <br />Z <br />,4 <br /> ~... <br />~G <br /> <br /> ~„~ <br /> <br />