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~.._.!"~"I r~~i-,:;,r._ a I.~..N,.,. _~. px,ok"-,_~ ~r ~~.~~. _.IFN"YR.u,6 ~,, ~, ,: ~.-. <br />IAIffi~TFi~1,erTk7~+18'° <br />Pi)R OF FORM. This form is to be uud by the Nebraska <br />Department of Revenue for the Fufiou of notifying the appropriate <br />county authorities that a Notice of State -Tax lien is being filed <br />against the taxpayer indicated on this form. <br />1`he tax category number codes and the Nebraska tax programs they <br />repreuat sze listed 4elow. <br />Ol .............................SaksTax <br />ul ........................Retailers Uu Tax <br />04 ........ • ............. Consumer Uu Tax <br />10 ............................Pazitnutuol <br />21 ...................Income Tax Withholding <br />22 ....................Individual income Tax <br />23 • • • . • • ...... ........Fiduciary Income Tax <br />' 24 ...........Corporate Income sari Fraachiu Tax <br />36 ...................Documentary Stamp Tan <br />44 ............Mechanical Amuument Device Tex <br />45 ..........................Severance Tax <br />46 ............................ Estate Tax <br />~:7 ...........................Cigarette Tax <br />67 .............................Latter Fee <br />b8 .............. . ............ I.odglag Tax <br />71 .............Interstate Motor Carriers Fuel Tax <br />81 ...........Motor Vehicle Fuels Importing Dealer <br />85 ..........................Aircraft Fueis <br />Sl . .:........................Special Fuels <br />V ~~+~ <br />,~ 1 <br />y V <br /> <br />,% <br />~ ~ f~ <br />~.. <br />_ . <br />:, _, <br /> <br />+~# <br />` '° _ <br />O = i <br />ti /~ m <br />W <br /> ~ <br /> * ~ <br /> 3 ~7 i M1. <br />-~ F ti N <br /> p m ~ ~.. ~ <br />a ~ _ ~ ~ a} <br />~ <br />~ <br />~ <br /> ~ ~ <br /> `~ <br /> <br />~ ~ 3 <br />~ ~ ~ ~ <br />o -.. <br /> ~,, ~ <br /> <br /> 0 <br />____- <br />a <br />~~ <br />__.1 <br />f <br />t_ <br />