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f <br />f ;' <br />F t <br />~ - - IRi81`~~IE"1'fON'~s <br />PURPOSE OF FORM. This f9rm is to he used by fhe Nebraska <br />Department of Revenue for the purpose of notifying the appropriate <br />county authorities that a Notice of State Tax Lien is being filed <br />agate-.the taatpayzr indicated on this farm, <br />.The tax category number codes and the Nebraska tax programs they <br />represet+t are listed below. <br />41 ................. ..........SalesTax _ <br />02 ........................ Ruatiers Use lax ` <br />04 ...................... Consumers Use Tax <br />14 ............................ Pari-mutuei <br />~t6 ......................... . .. Estate Tax <br />Z 1 ...................Income Tax Withho}ding <br />32 ... . ............ . ... lndividuat Income Tax <br />~3 ............. . ........Fiduciary Income Tax <br />2+# ...........Cprparate Income and Franchise Tax <br />.` ~ qs' ..:......... Mechanical Amusement Device Tax <br />3b ........... ' ....... Documertary Stamp Tax <br />' 4r .... . ......................Cigarette Tax <br />- '~~ .. ... SeYeranCE T8X <br />71 .............interstate Motor Carriers Fue! Tax <br />' 81 .... ,.......Motor Vehicle Fuels importjn$ Dealer <br />ti5 ....................... . ..Aircraft Fuels <br />9i ...........................Special Fuels <br />tai ~ <br />- -rn <br />.t a 7 <br />'rt ,a :t3 <br />~ ~ ~ ~ ~~~ ~~~R <br />CL9 A <br />~E• \ «,3 <br />U <br />d <br />r~ ~i <br />1 <br />