In the traditional note symbol extraction processes, extracted candidates of note elements were identified using complex if-then rules based on the note formation rules and they needed subtle adjustment of parameters through many experiments. The purpose of our system is to avoid the tedious tasks and to present an accurate and high-speed extraction of note heads, stems and flags according to the following procedure. (1) We extract head and flag candidates based on the stem positions. (2) To identify heads and flags from the candidates, we use a couple of three-layer neural networks. To make the networks learn, we give the position informations and reliability factors of candidates to the input units. (3) With the weights learned by the net, the head and flag candidates are recognized. As an experimental result, we obtained a high extraction rate of more than 99% for thirteen printed piano scores on A4 sheet which have various difficulties. Using a workstation (SPARC Station 10), it took about 90 seconds to do on the average. It means that our system can analyze piano scores 5 times or more as fast as the manual work. Therefore, our system can execute the task without the traditional tedious works, and can recognize them quickly and accurately.