Form 10 - Nebraska And Local Sales And Use Tax Combined Instruction Page 2
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7Example
The following example illustrates the use of the Nebraska Combined Collecton Fee Worksheet in conjunction
with the Nebraska and Local Sales and Use Tax Return, Form 10, and the Nebraska Schedule II. Dollar amounts,
tax rates, and calculations are shown for illustrative purposes only.
NEBRASKA SCHEDULE II –
Nebraska and Local Sales and Use Tax Combined
FORM 10
Return for Sales Transactions by Location
Schedule II
Nebraska ID Number
Nebraska Identification Number
Tax Period
Do not complete Nebraska Schedule II unless your company has filed an application and been approved to file
a combined return for two or more licensed locations.
(B)
(C)
(D)
(E)
(A)
(F)
(G)
Gross Sales
Net
Nebraska
Nebraska
Location ID Number
Local Sales Tax
Local Use Tax
and Services
Taxable Sales
Sales Tax
Use Tax
123
180,000
130,000
7,150 00
53 00
1,950 00
14 46
1
00
00
2
00
00
456
35,000
30,000
1,650 00
--
450 00
--
3
789
128,000
00
125,000
00
6,875 00
12 00
1,250 00
2 18
19
00
00
343,000
285,000
15,675 00
65 00
3,650 00
16 64
20
COLUMN TOTALS
00
00
Nebraska Combined Collection Fee Calculation Worksheet
FORM 10
• Attach to Form 10, Nebraska Schedule II.
Schedule II Worksheet
• See example on reverse side.
Worksheet
Name on Form 10
Nebraska ID Number
Tax Period
Name as Shown on Form 10
Do not complete this worksheet unless your company has filed an application and been approved to file a
combined return for two or more licensed locations.
(H)
(A)
(D)
(F)
(I)
(J)
Total Nebraska and
Location ID Number
Nebraska Sales Tax
Local Sales Tax
Collection Fee
Sales Tax Due
Local Sales Tax
123
7,150
00
1,950
00
9,100
00
75
00
9,025
00
1
456
1,650
00
450
00
2,100
00
52
50
2,047
50
2
789
6,875
00
1,250
00
8,125
00
75
00
8,050
00
3
20
21 Enter the totals of columns H, I, and J on lines 7, 8,
19,325
00
202
50
19,122
50
and 9 of Form 10 ................................................................
Nebraska and local sales and Use tax Return
FORM
• If applicable, complete Schedule I on reverse side.
10
• See optional Nebraska Net Taxable Sales and Use Tax Worksheets.
Please DO NOt WRite iN this sPace
Tax Category
Nebraska ID Number
Rpt. Code
Tax Period
Due Date
• Name, address, or ownership changes? See instructions.
Check the box if your business has permanently closed, has been sold to someone else, or your permit is no longer needed.
New owners must apply for their own sales tax permit.
343.000
1 Gross sales and services (see instructions) .......................................................................................
1
00
285.000
2 Net taxable sales (see instructions) ....................................................................................................
2
00
.055
15,675 00
3 Nebraska sales tax (line 2 multiplied by
) ................................................................................
3
65 00
4 Nebraska use tax (see instructions) ............................................................. 4
Complete Nebraska Schedule I prior to completing lines 5 & 6.
5 Local use tax from line 1, Nebraska Schedule I ........................................... 5
16 64
3,650 00
6 Local sales tax from line 2, Nebraska Schedule I ..............................................................................
6
19,325 00
7 Total Nebraska and local sales tax (line 3 plus line 6) ........................................................................
7
202 50
8 Sales tax collection fee (line 7 multiplied by .025; if the result is $75.00 or more, enter $75.00) .......
8
19,122 50
9 Sales tax due (line 7 minus line 8) .....................................................................................................
9
81 64
10 Total Nebraska and local use tax (line 4 plus line 5) .......................................................................... 10
19,204 14
11 Total Nebraska and local sales and use tax due (line 9 plus line 10) ................................................. 11
12 Previous balance with applicable interest at
5% per year and payments received through
12
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