Form 3800n - Nebraska Employment And Investment Credit Computation

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NEBRASKA EMPLOYMENT AND INVESTMENT CREDIT COMPUTATION

FORM

for Tax Years after 2003 and Before 2006

RESET FORM

3800N

• Attach this form to the original or amended return.

nebraska

department

beginning

and ending

of revenue

Name as Shown on Return

Social Security No. or Nebraska I.D. No.

Type of Return

(1)

1040N

(4)

1120-SN

Location Address(es) Where Expansion Occurred

County Where Expansion Occurred

(2)

1120N

(5)

1041N

(3)

1065N

(6)

1120NF

Qualifying Business Type (check only one–see instructions). If this is your initial claim, attach a complete explanation of your business activity.

Conducting research, development, or testing for scientiﬁc, agricultural, animal hus-

Assembly, fabrication, manufacture, or processing of tangible

(1)

(5)

personal property

bandry, or industrial purposes

Storage, warehousing, distribution, transportation, or sale of

Performance of data processing, telecommunication, insurance, or ﬁnancial services

(6)

(2)

tangible personal property

Administrative management or headquarters of any activity which includes items 1

(7)

(3)

Feeding of livestock

through 6 above, or the headquarters of a retailer

(4)

Farming or ranching

(8)

Any combination of activities 1 through 7; list types:

(1)

Single location

(2)

Multiple locations

(3)

Related parties

Total sales which are retail (percent):

Reason for ﬁling

(3)

Report employment and investment for two years after credits claimed

• Taxpayers claiming original tax credits must increase both employment and investment levels by the required amounts in the same tax year.

QUALIFIED NEBRASKA EMPLOYEE CALCULATION (see instructions)

(B)

Business Began in NE:

(A)

Full-Time Equivalent

Total Hours Paid

Indicate your NE Withholding Tax No.: 21-

Nebraska Employees

5 Equivalent Nebraska employees for current year . . . . . . . . . . .

6 Equivalent Nebraska employees for ﬁrst preceding year . . . . .

7 Equivalent Nebraska employees for second preceding year . .

8 Equivalent Nebraska employees for third preceding year . . . .

NEBRASKA QUALIFIED INVESTMENT CALCULATION

Enter Tax Year

TOTAL NEBRASKA QUALIFIED INVESTMENT

mo. / day / yr.

(Divide Total of Columns

(A) Beginning of Year

(B) End of Year

Beg. Year

Year End

A and B by 2)

9 Current year . . . . . . . . . . . . . . . . . . . . . .

9 $

10 First preceding year . . . . . . . . . . . . . . . .

11 Second preceding year. . . . . . . . . . . . . .

12 Third preceding year. . . . . . . . . . . . . . . .

13 Amount of Nebraska sales and use tax refunds for LB 270 claimed to date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Total LB 270 distributed credit received (line 35 on reverse side) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

15 Total LB 270 credits carried forward (List years credits earned:

) 15

16 Total available LB 270 credit amounts (total of lines 14, and 15; minus line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . 16 $

17 Nebraska income tax liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 Total nonrefundable credits (other than Form 3800N) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 $

19 Nebraska income tax liability after other nonrefundable credits (line 17 minus line 18) . . . . . . . . . . . . . . . . . . . . . 19

20 50 percent of line 19 (multiply line 19 by 0.50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

21 LB 270 credit used to reduce income tax liability (do not exceed the lesser of line 16 or line 20) . . . . . . . . . . . . . 21

22 Amount of LB 270 credits distributed to partners, shareholders, and beneﬁciaries on line 34 on reverse side . . . 22

23 Unused LB 270 credits no longer available (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

24 Total LB 270 credit to be carried forward (line 16 minus lines 21, 22, and 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 $

25 Form 775N credit (from Form 775N and line 40, on reverse side) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

26 Enterprise zone credits (attach Nebraska Schedule I – Enterprise Zone Credit Computation) . . . . . . . . . . . . . . 26

27 Total Nebraska Advantage Act credit. Attach a worksheet and qualiﬁcation letter . . . . . . . . . . . . . . . . . . . . . . . . . 27

28 TOTAL Form 3800N nonrefundable credit (total of lines 21, 25, and 26). Enter on Form 1040N, 1120N, or 1041N.

NOTE – Total of lines 21, 25 and 26 cannot exceed line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 $

29 Total LB 608 credit. Attach a worksheet and qualiﬁcation letter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

30 Total microenterprise. Attach credit authorization and certiﬁcation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

31 TOTAL Form 3800N refundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 $

8-600-2004 Rev. 1-2007

Supersedes 8-600-2004 Rev. 1-2006