Form 8453n - Nebraska Individual Income Tax Transmittal For E-Filed Returns - 2007
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1NEBRASKA INDIVIDUAL INCOME TAX
FORM 8453N
TRANSMITTAL FOR E-FILED RETURNS
2007
for Tax Year Beginning January 1 and Ending December 31, 2007
• Read instructions below
PLEASE DO NOT WRITE IN THIS SPACE
IRS Declaration Control Number (DCN)
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0
0
8
First Name(s) and Initial(s)
Last Name
RESET
PRINT
SAVE
Home Address (Number and Street or Rural Route and Box Number)
Social Security Number
Spouse’s Social Security Number
City, Town, or Post Office
State
Zip Code
Check the applicable box(es) to identify attachments.
Form 1099-MISC (only if Nebraska withholding is shown)
Form 14N Statement of Nebraska Income Tax Withheld For Nonresidents
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Form 1310N Nebraska Refund for Deceased Taxpayers
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A
Form CDN Nebraska Community Development Assistance Act Credit Computation
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Form 1099NTC
E
Form 3800N Nebraska Employment and Investment Credit Computation
Statement for Nebraska Charitable Endowment Credit
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Statement of Nebraska Financial Institution Tax Credit
F
Certificate for Beginning Farmer Credit
Form 4797N Special Capital Gains Election and Computation
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E
Other (Please list)
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R
A
INSTRUCTIONS
W-2G, 1099-MISC and 1099R and all other related state
WHEN TO MAIL. If a Nebraska Individual Income Tax
S
documentation for a period of 3 years from the due date.
return requires forms not supported in e-file, it can be e-filed
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NOTE: This form is no longer used for tax return signature
if the required forms are mailed to the department. In this
case, attach all required forms needed to complete the filing
purposes. The submission of a federal self-select personal
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to this form, check their corresponding box(es) above; attach
identification number (PIN) with a taxpayer’s federal
all state copies of Forms W-2, W-2G, 1099-MISC and 1099R,
income tax return electronically filed by an ERO serves as
and mail all to the address below. If there are no required
the Nebraska signature on the Nebraska electronically filed
forms to be mailed, retain the state copies of Forms W-2,
return.
Mail this form and attachments to: NEBRASKA DEPARTMENT OF REVENUE, P.O. BOX 98911, LINCOLN, NE 68509-8911
Visit our Web site: , or call 1-800-742-7474 (toll free in NE and IA) or 1-402-471-5729.
8-523-2007
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