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Form 1041N Fillable Nebraska Fiduciary Income Tax Return, with Schedules I, II, and III (1/2015)
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)
(1) Initial Nebraska Return (2) Final Return (3) Change in Address (4) 7004 Attached (5) Distributed Form 3800N Credit (1) Resident (2) Nonresident Estate Simple Trust Complex Trust ESBT Bankruptcy Estate Amended Return (G) on line 11 Form 1041N] (Line 1 + Line 4) (Lines 3 5 and 6) (Ratio) (Line 31) 36 (see instructions) 32 = x = 1 0684 1 Nebraska tax (line 10 Form 1041N) 1 1 Total federal income 1 10 Total Nebraska tax (total of lines 8 and 9) 10 11 Nebraska income tax withholding for nonresident individual beneficiaries [total of column (G) Schedule II] 11 12 Total Nebraska income tax liability (line 10 plus line 11) 12 13 Credit for tax paid by resident estate or trust to other states (Schedule III) 13 14 Community Development Assistance Act credit and Financial Institution Tax credit 14 15 Form 3800N nonrefundable credit (attach Form 3800N) 15 16 Total nonrefundable credits (total of lines 13 14 and 15) 16 17 Subtract line 16 from line 12 (if line 16 is greater than line 12 enter zero 0 ) 17 18 Form 3800N refundable credit (attach Form 3800N) 18 19 Tax deposited with Form 7004N and 2014 estimated income tax payments 19 2 0684 2 Federal taxable income 2 2 Taxable income from another state 2 20 Beginning Farmer credit (attach certificate) 20 21 Angel Investment Tax credit 21 22 Other credits (attach Nebraska copy of Federal Forms W 2 1099 R or W 2G) 22 23 Total payments (total of lines 18 19 20 21 and 22) 23 24 TAX DUE (if line 17 is greater than line 23 subtract line 23 from line 17) 24 25 OVERPAYMENT (if line 23 is greater than line 17 subtract line 17 from line 23) 25 26 Overpayment on line 25 you want credited to 2015 estimated income tax 26 27 Overpayment to be REFUNDED (line 25 minus line 26) 27 28 Nebraska taxable income (line 7 Form 1041N) 28 29 Nebraska income tax on line 28 amount (see line 8 instructions) 29 3 0684 3 Computed tax credit Line 2 Schedule III 3 Undistributed income from U S government bonds or other U S obligations 3 30 Nebraska other tax (see line 9 instructions) 30 31 Total Nebraska tax (line 29 plus line 30) 31 32 Income derived from Nebraska sources except capital and ordinary gain (loss) (attach schedule) 33 Nebraska capital and ordinary gain (loss) (attach schedule) (see instructions) 33 34 Adjustments if any applied to Nebraska income (see instructions) 35 Nebraska adjusted gross income (line 32 plus or minus lines 33 and 34) 35 36 Nebraska share of line 31 Compute below and enter result here and on line 10 Form 1041N 4 0684 4 Tax due and paid to another state (attachment required) (see instructions) 4 4 Undistributed income from non Nebraska state and local bond interest and other Nebraska adjustments 5 Maximum tax credit (line 1 3 or 4 whichever is least) Enter amount here and on line 13 Form 1041N 5 5 Special Capital Gains/Extraordinary Dividend Deduction 5 5 TOTALS [enter total of column 6 Nebraska adjustments decreasing federal taxable income (attach a schedule) (see instructions) 6 7 Nebraska taxable income (line 2 plus line 4) minus (lines 3 5 and 6) 7 8 Nebraska income tax (use the tax rate schedule on page 8 of instructions) 8 9 Nebraska other tax (Federal Form 4972) (see instructions) 9 Calculate the ratio to five decimal places and round to four City State Zip Code Does the estate or trust have nonresident individual beneficiaries? Is the trust a pooled income fund? increasing federal taxable income (attach a schedule) (see instructions) 4 Line 35 Line 7 Form 1041N 3 List: 34 Name and Title of Fiduciary Name of Estate or Trust Nebraska ID Number Federal ID Number Type of Trust (If Grantor Type See Instructions) Nebraska Schedule I Computation of Nebraska Tax Nebraska Schedule II Nonresident Beneficiary s Share of Nebraska Income Nebraska Schedule III Credit for Tax Paid to Another State Note: If simple trust with out of state beneficiaries and only portfolio income do not complete Schedule II Instead check this box Status of Estate or Trust Type of Return Street or Other Mailing Address of Fiduciary Under penalties of perjury I declare that as taxpayer or preparer I have examined this return including accompanying schedules and statements YES (Complete Schedule II) NO YES NO (Enter on Nebr Sch K 1N) (see instructions) [Col (E) times Col (F)] [Column (B) minus Column (C)] 23 Testamentary Inter Vivos Grantor Type 8 424 2014 A copy of the federal return and schedules must be attached to this return A copy of the return filed with another state must be attached If the other state return is not attached this credit will not be allowed and to the best of my knowledge and belief it is correct and complete Attached beginning 2014 and ending 20 Check applicable boxes: Check if Computation Of Nebraska Tax Withheld Deductions Deductions and Credits Firm s Name (or yours if self employed) Address and Zip Code EIN Daytime Phone for the taxable year January 1 2014 through December 31 2014 or other taxable year FORM 1041N Form 12N I II and III Instead Nonresident estates and trusts must complete Nebraska Schedule I to determine the Line 10 entry Mail this return and payment to: Nebraska Department of Revenue PO Box 94818 Lincoln NE 68509 4818 Name And Address Of Each Nonresident Beneficiary Name on Form 1041N Nebraska ID Number Nebr Income Tax Withheld Nebraska Nebraska Fiduciary Income Tax Return Nebraska ID Number Nebraska Income Nebraska Schedule I Computation of Nebraska Tax for Nonresident Estate or Trust Nebraska Schedule II Nonresident Beneficiary s Share of Nebraska Income Deductions and Credits Nebraska Schedule III Credit for Tax Paid to Another State for Resident Estate or Trust Only Nonresident estates and trusts except those receiving esbt income should not make entries on lines 8 AND 9 of Nonresident Beneficiary Please PLEASE DO NOT WRITE IN THIS SPACE preparer s Preparer s Signature Date Preparer s PTIN revenue nebraska gov 800 742 7474 (NE and IA) 402 471 5729 Schedules Signature of Fiduciary or Officer Representing Fiduciary Date Email Address Social Security Number or State Street or Other Mailing Address Subject to Withholding Title Phone Number Type or Print use only x Line 1 Schedule III Zip Code