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_. __ ! <br />~ _. -.. -- - -->Fl~ii~~,~, ni.--- ~-ter ,.-.n.--~ ~A- wry-~ _.,. <br /> Ii~ffiT'~`ll <br /> tIE OF FORM. This ftrrro ~ to be uasd by ZF& Ntbraska <br /> ~t of Revenge for the purpeee csf notify~g the appropriate <br /> eatnty authorities drat a Notice of State Tax Iien is tieing filed <br /> ag~t the taxpayer indurated on thg form. <br /> TYte tax eaugory number codes and LI~Idebraska tax programs they <br /> represent are Eisucl below. <br /> - ;. t21 .............................SaksTax <br /> 02 ........................Retailers Use Tax <br /> d4 ... . . . ................Consumers Use Tax <br /> lA ............................Pariingtue3 <br />_ 21 ...................Income Tax Withholding <br /> <br />= - 22 ....................Individual Income Tax <br /> Z3 ..... . ...............Fiduciary Income Tax <br /> ?ri ...........Corporate Incoma and Franchise Tax <br /> ' 36 ...................Documentary Stamp Tax <br /> 44 ............Mechanical Amusement Device Tax <br /> 45 ..............:...........Severance Tax <br />` 4b ............................ Estate Tax <br /> 47 ...........................Cigarette Tax <br /> 67 .............................litter Fee <br /> 68 ....:........... . .......... Lodging Tax <br />i 71 .............Interstate Motor Carrion Fud Tare <br /> 81 ...........Motor Vehicle FuelslmportingDeater <br /> 85 .......................... Aucraft Fuels <br /> 91 ....:...........:..........Special-Fuels <br />S~ it <br />~% ; <br />~~ ~ ~_=~ <br />t ~ /~~ , <br />y. <br />~~\ ~ .: <br />- i n t~ ~ <br />9 <br />. ~~~ ~'~ j`h. <br />77011 <br />1+\+~ <br />- -. . <br />~.. <br />V <br />4, t <br /> <br />M <br />C~1 s's2 <br />+~ <br />C3 ~ <br />s__ ~ <br />t~ i ~ fi1 <br /> <br />~ ~ <br />~~ -_ <br />~_ ''1 <br />L~ ~ --.. ~ <br />> ~~~ <br /> <br />.r7 uni <br />> <br />N <br />~Y ~ <br />~ r D, <br />ti _ <br />~ ~Q <br />~~ <br />i <br />.~. x <br />v <br />A <br />V7 <br />t <br />N <br />~A~ N ` ~ <br /> ~ <br />