Form 1040N-Schd Fillable 2013 Nebraska Schedules I, II, and III  (12/10/2013)
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

45 Interest income from all state and local obligations exempt from federal tax 46 Exempt interest income from Nebraska obligations 47 Total taxable interest income Enter the result of line 45 minus line 46 47 48 Financial Institution Tax Credit claimed Enter amount from line 25 Form 1040N 48 49 Long Term Care Savings Plan recapture (also subject to 10% penalty) (see instructions) 49 50 Nebraska College Savings Program recapture (see instructions) 50 51 Federal net operating loss deduction 51 52 S corporation or LLC Non Nebraska loss 52 53 Total adjustments increasing federal AGI (total lines 47 through 52) Enter here and on line 12 Form 1040N 53 54 State income tax refund deduction Enter line 10 Federal Form 1040 54 55 U S government obligations exempt for state purposes (list below or attach schedule) 56 List fund name total dividend and percent of regulated investment company dividends from 57 Total U S government obligations Enter total of lines 55 and 56 57 58 Benefits paid by the Railroad Retirement Board (RRB) included in the federal AGI Attach all Forms 1099 59 Special capital gains/extraordinary dividend deduction [attach Form 4797N; a copy of Federal Schedule D; 60 Nebraska College Savings Program contribution (see instructions) 60 61 Nebraska Long Term Care Savings Plan contribution 61 62 Nebraska Long Term Care Savings Plan earnings 62 63 S corporation and LLC Non Nebraska income (attach Nebraska Schedules K 1N see instructions) 63 64 Nonresident military service member active duty pay (attach active duty Form W 2 from another state) 64 65 Native American Indian Reservation income 65 66 Claim of right repayment 66 67 Nebraska NOL carryforward (attach Nebraska NOL Worksheet) 67 68 Nebraska agricultural revenue bond interest 68 69 Federally taxable Nebraska Investment Finance Association (NIFA) bond interest 69 70 Interest from federally taxable Build America Bonds issued by Nebraska governmental units 70 71 Total adjustments decreasing federal AGI (total lines 54 and 57 through 70) Enter here and on line 13 Form 1040N 71 72 Total Nebraska tax (line 17 Form 1040N) 72 73 Adjusted gross income derived from another state (do not enter amount of taxable income from the 75 Tax due and paid to another state (do not enter amount withheld for the other state use Conversion Chart 76 Allowable tax credit (line 72 74 or 75 whichever is least) Enter amount here and on line 20a Form 1040N 76 77 Income derived from Nebraska sources Include income from wages interest dividends business farming 78 Adjustments as applied to Nebraska income if any (see instructions) 79 Nebraska adjusted gross income (line 77 minus line 78) 79 80 Ratio Nebraska s share of the total income (calculate to 5 decimal places and round to 4): 81 Nebraska Taxable Income (line 14 Form 1040N) 81 82 Nebraska tax calculation (see instructions) 83 Multiply personal exemption credit of $126 by the number of federal exemptions on line 4 83 84 Tax after personal exemption credit (line 82 minus line 83) If less than $0 enter 0 here and if you have 85 Nebraska income tax Multiply line 84 by the ratio you computed on line 80 Enter result here and on 86 Nebraska minimum or other tax: 87 Earned income credit (Partial Year Residents Only) 88 Nebraska earned income credit Multiply line 87 by the ratio you computed on line 80 (attach federal tax A complete copy of the return filed with another state must be attached If the entire return is not attached credit for tax paid to another state a Federal Alternative Minimum Tax (recalculated Form 6251) 86 a $ a List type: b Amount: $ a List type: b Amount: $ a List type: b Amount: $ a Number of qualifying children Enter here and on line 33 box 97 Form 1040N 87 a a Tax on Nebraska taxable income from line 81 82 a $ a U S obligation: adjustments complete Parts A and B of Nebraska Schedule I Use Schedule III to calculate your Nebraska tax liability and Form 8949 (or Federal Schedule B when claiming extraordinary dividend deduction)] (see instructions) 59 and W 2 from the RRB any minimum or other tax due apply any unused personal exemption credit against it on line 86f 84 Attach additional pages if necessary ATTACH THIS PAGE TO FORM 1040N b Additional tax if applicable from Additional Tax Rate Schedule 82 b $ b Enter federal earned income credit from federal tax return here and on b Federal Tax on Lump Sum Distributions (Form 4972) 86 b $ b Total dividend: $ x c % = d $ c Federal tax on early distributions (lesser of Form 5329 or line 58 Fed Form 1040) 86 c $ c Subtotal (add line 82a and line 82b) 82 c $ Calculated tax credit: Complete a separate Schedule II for each state d Credits list types: Total: 82 e $ d Subtotal (add lines 86a b and c) 86 d $ e Tax calculation Multiply line 86d x 296 (29 6%) 86 e $ f Enter any unused personal exemption credit from the calculation on line 84 86 f $ g Subtract line 86f from line 86e 86 g $ line 15 Form 1040N 85 line 33 box 98 Form 1040N 87 b $ Line 5 + Line 12 Line 13 + 74 Line 5 + Line 12 Line 13 + 80 Line 73 Line 79 Line 82c minus line 82e 82 List type: Amount: List type: Amount: List type: Amount: Multiply line 86g by line 80 ratio Enter result here and on line 16 Form 1040N 86 Multiply line 87b amount by 10 (10%) Enter the result here (see instructions) 87 Name on Form 1040N Social Security Number Name on Form 1040N Social Security Number Nebraska unemployment payments severance payments connected to Nebraska employment partnerships on the Department s website) 75 other state use Conversion Chart on the Department s website) 73 return pages 1 and 2 to your return) Enter result here and on line 33 Form 1040N 88 S corporations limited liability companies estates and trusts gain or loss rents royalties and financial institution tax credit amount If there is no Nebraska income or loss enter 0 Total adjustment as applied to Nebraska income Enter total of lines 78b 78 Total benefits paid by the RRB included in federal AGI Enter total of lines 58b 58 Total exempt interest income from Nebraska obligations Enter total of lines 46b 46 Total income derived from Nebraska sources Enter total of lines 77b 77 Total interest income exempt from federal tax Enter total of lines 45b 45 Total regulated investment company dividends Enter total of lines 56d 56 Total U S government obligations exempt for state purposes Enter total of lines 55b 55 You do not have to provide a copy of other state returns when filing Schedule III You must complete lines 1 through 14 Form 1040N If you have state local or federal bond interest or other % x Line 72 (Nebraska Schedule II reverse side ) 8 418 2013 Computation of Nebraska Tax for PARTIAL YEAR RESIDENTS AND NONRESIDENTS ONLY Credit for Tax Paid to Another State for FULL YEAR RESIDENTS ONLY FORM 1040N FORM 1040N I II and III Nebraska Adjustments to Income for Nebraska Residents Partial Year Residents and Nonresidents Nebraska Schedule I Nebraska Schedule I Nebraska Adjustments to Income Nebraska Schedule II Nebraska Schedule II Credit for Tax Paid to Another State Nebraska Schedule III Nebraska Schedule III Computation of Nebraska Tax Part A Adjustments Increasing Federal AGI Part B Adjustments Decreasing Federal AGI printed with soy ink on recycled paper Sch I II and III Schedules will not be allowed Name of state: