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~~ ~ _ ~r .~'~ ,aa5*~I~?,u yr ~. r.... _,~.~i u. wr ~qa ~ .m~r~und~,l ~ .-.. ,kzr h^ -. ~~;, ~~~~~ ~. .-:av,~ ias n,idn~ Ih'F.?Iplal~"d~l i ~.-i,n Irld~h~aMu' I al ul~wdam'w~ ~^ or r IN&,'TRl11CTkfJN$ PIJRPk'1$~E qF'' fiORIM. This, faint is to be ;aped by the Nebraska Department of Reveaue for the purpose of notifying the appropriate county authorities that a Notke of State Tex Lien is being filed a~nst the taxpayer indicated on this form. Ths tax catsgory number codes and the Nebraska tax pragrams they represent are listed below. 01 ....... ...................... Sales Tax 02 ....... .................Retailers Uu Tax Dal ....... ............... Consumers Uu Tax !0 ....... ..................... Pariinutuel 21 ....... ............Income Tax Withholding 22 ....... .............Individual Income Tax 23 ....... ..............Fiduciary Income Tax 14 ....... ....Corporate Income and Franchlu Tax 36 ....... ............Documentary Stamp Tax 44 ....... ..... MeehaNcal Amuument Device Taz 45 ....... ...................Severance Tax 46 ....... ..................... Estate Tax 4T ....... ....................Cigarette Tax b7 ....... ............. ........Litter Fee 68 ....... ....................Lodging Tax 71 ....... ......lnteratate Motor Carriers Fuel Tax 81 ..... , . ....Motor Vehicle FuelalmportingDealer 85 ....... ...................Aircraft Fuels 4I . . . . . .. ....................Special Fuels n ~1 (~i- 88 "5 4~ ~ ~ 1 t4 rte ~ -+ ~ rr 7 fD ~ 1 ~ ~ J ' '^ `'' e~ ''` ~ ~ t~~ \-° ~ T - : as `+i~ ,3 i N ~~ ~ ~ # ~~ ~ ~ sn 1 `w - V ~ ~ j - CO G1 ~ ~ .~~ ~ 3 V i <.~ t+.t .~ . W1~ UUU ~+.I ~ ~ \ } ~\ C !~ ~~. t~