Form 1040n - Nebraska Schedule Iii - Computation Of Nebraska Tax - 2016

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FORM 1040N
Schedule III
Nebraska Schedule III
— Computation of Nebraska Tax
2016
Name on Form 1040N
Social Security Number
Nebraska Schedule III —
Computation of Nebraska Tax for PARTIAL-YEAR RESIDENTS AND NONRESIDENTS ONLY
• You must complete lines 1 through 14, Form 1040N. If you have state, local, or federal bond interest or other
adjustments, complete Parts A and B of Nebraska Schedule I. Use Schedule III to calculate your Nebraska tax liability.
• You do not have to provide a copy of other state returns when filing Schedule III.
1 Income derived from Nebraska sources. Include income from wages, interest, dividends, business, farming,
Nebraska unemployment payments, severance payments connected to Nebraska employment, partnerships,
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-.
a List type:
b Amount: $
List type:
Amount:
Total income derived from Nebraska sources. Enter total of lines 1b ..............................................................
1
00
2 Adjustments as applied to Nebraska income, if any (see instructions)
a List type:
b Amount: $
List type:
Amount:
Total adjustment as applied to Nebraska income. Enter total of lines 2b ........................................................
2
00
3 Nebraska adjusted gross income (line 1 minus line 2) .......................................................................................
00
3
4 Ratio — Nebraska’s share of the total income (calculate to six decimal places, and round to five): ......................
Line 3
=
=
=
.
From Form 1040N, Lines 5 + Line 12 – Line 13
+
4
5 Nebraska Taxable Income (line 14, Form 1040N)
00
5
6 Nebraska tax calculation (see instructions)
a Tax on Nebraska Taxable Income from line 5 ...............................................................6 a $ ___________
b Additional tax, if applicable, from Additional Tax Rate Schedule ...................................6 b $ ___________
c Subtotal tax (add lines 6a and 6b) .................................................................................6 c $ ___________
d Partial-year residents, enter Nebraska nonrefundable credit for the elderly or disabled ... 6 d $ ___________
e Partial-year residents, enter Nebraska child/dependent care nonrefundable credit ......6 e $ ___________
f Subtotal credits (add lines 6d and 6e) ...........................................................................6 f $ ___________
Line 6c minus line 6f ...................................................................................................................... ................
00
6
7 Multiply personal exemption credit of $131 by the number of federal exemptions on line 4, Form 1040N .........
7
00
8 Tax after personal exemption credit (line 6 minus line 7). If less than $0, enter -0- here, and if you have
any other tax due, apply any unused personal exemption credit against that tax on line 10e ............................
00
8
9 Nebraska income tax. Multiply line 8 by the ratio you computed on line 4. Enter result here and on
line 15, Form 1040N ............................................................................................................................................
9
00
10 Nebraska other tax calculation:
a Federal Tax on Lump Sum Distributions (Form 4972) .................................................10 a $ ___________
b Federal tax on early distributions (lesser of Form 5329 or line 59, Fed. Form 1040) ..10 b $ ___________
c Subtotal (add lines 10a and 10b) .................................................................................10 c $ ___________
d Tax calculation. Multiply line 10c by 29.6% (x .296) ....................................................10 d $ ___________
e Enter any unused personal exemption credit from the calculation on line 8 ................10 e $ ___________
f Subtract line 10e from line 10d ....................................................................................10 f $ ___________
Multiply line 10f by line 4 ratio. Enter result here and on line 16, Form 1040N. ............................................ 10
00
11 Earned income credit (Partial-Year Residents Only)
a Number of qualifying children. Enter here and on line 33, box 97, Form 1040N .........11 a ____________
b Enter federal earned income credit from federal tax return here and on
line 33, box 98, Form 1040N ......................................................................................11 b $ ___________
Multiply line 11b amount by 10% (x .10). Enter the result here (see instructions). ........................................ 11
00
12 Nebraska earned income credit. Multiply line 11 by the ratio you computed on line 4 (attach a copy of
federal tax return pages 1 and 2 to your return). Enter result here and on line 33, Form 1040N ........................ 12
00

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