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i <br />Imo.. ~„., ~ , - <br />~tN~"~ <br />t'iiR#OSE OF FtNtRi. This form is to be used i by the Nebraska <br />Da~vnettt.af Revertne fai- tip P'a~ of natlfys$g flee a?propriate <br />- oooaty authodNes that : Native of State Tax Lien is beittg filed <br />agaiaat the taxpayer lndiated on this form. <br />~: ~ ~,' {, ~ r'Ch~t~/a€ cstegory numb~t cude~ and tha Nebeasics ta~c progam> they <br />reptesettt ate listed belovr. <br />_ (11 .:...... . ...................... Sales Ttuc <br />b2 ........................ Retailers Use Tax <br />~ri° ...........:.......... Consumero Use Tax <br />IQ ............................paddXetutuel <br />21- ...................income Tu Withholding <br />22 .................... Individual income Tax <br />23 ........ ............ Fiduciay Incmne Tu <br />., 24 ...........Corpatate income and Frauhise Tu <br />~ ...................Documentary Stapp Tu <br />4p ............ T6`ectwnical Amusement Device Tu <br />45 ..........................Severance Tax <br />46 ............................ Estato Tax <br />47 ...........................Cigarette Taz <br />61 .................... ........Litter Fee <br />68 ...........................LodgingTex <br />71 .............Interstate Motor Carders Fuel Tax <br />81 ...........Motor Vehicle FuelsImpodingDealer <br />85 ..........................Aircraft Fueia <br />41 ...........................Special Fuels <br />rt <br />u ~ cs a± <br />c > <br />y <br />~~}} <br />~S ~ ~ ~e <br />rs ' ~ t~-.. ~. <br />+ iti as A N '~ <br />~ M ' ~ <br />~~ <br />~l <br />-.'.. ~ ` o <br />- t ,..J <br />~,» (~, <br /> <br />