Form 1040xn - Amended Nebraska Individual Income Tax Return - 2014 Page 2

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FORM 1040XN
2014
Page 2
Computation of Tax
Correct Amount
(Attach documentation for any change in credits to lines 20 through 34 – see instructions)
18 Amount from line 17 (total Nebraska tax) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19 Nebraska personal exemption credit ($128 x the number of exemptions on line 4) . . . . . . . . . . . . . . .
19
20 Credit for tax paid to another state from line 61, Nebraska Schedule II, Form 1040XN (attach Nebraska
Schedule II and a copy of the other state’s dated return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
21 Credit for the elderly or the disabled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
22 Community Development Assistance Act (CDAA) credit . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
23 Form 3800N nonrefundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
24 Nebraska child/dependent care nonrefundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
25 Credit for financial institution tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
26 Total nonrefundable credits (total of lines 19 through 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
27 Nebraska tax after nonrefundable credits (line 18 minus line 26 - see instructions) If less than zero, enter -0- .
27
28 Total Nebraska income tax withheld (2014 Forms W-2, K-1N, W-2G, 1099-R, 1099-MISC, or others – see instr .) 28
29 2014 estimated tax payments (including any 2013 amount carried over) . . . . . . . . . . . . . . . . . . . .
29
30 Form 3800N refundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
31 Nebraska child/dependent care refundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
32 Beginning Farmer credit (NDA NextGen) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32
33 Nebraska earned income credit .
Number of qualifying children
. Federal credit
x .10 (10%) .
97
98
Enter the result on line 33 . Partial-year residents should complete lines 73 and 74 (new SSN holders see instr .) 33
34 Angel Investment Tax Credit (see Form 1040N instructions) . . . . . . . . . . . . . . . . . . . . . . . . . .
34
35 Amount paid with original return, plus additional tax payments made after it was filed . . . . . . . . . . . . .
35
36 Total payments (add lines 28 through 35) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36
37 Overpayment allowed on original return, plus additional overpayments of tax allowed after it was filed . . . .
37
38 Actual tax paid, line 36 minus line 37 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38
39 Penalty for underpayment of estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39
40 Total tax and penalty for underpayment of estimated tax (total of lines 27 and 39) . . . . . . . . . . . . .
40
41 Use tax reported on line 38 of Form 1040N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41
42 Total Amount Due. If line 40 is greater than line 38 minus line 41, subtract the result of line 38
minus line 41 from line 40 . Otherwise, skip to line 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42
43 Penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
44 Interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44
45 Total Balance Due (total of lines 42 through 44) . Pay in full with this return .
Check this box if your payment is being made electronically . . . . . . . . . . . . . . . . . . . . . .
45
46 Refund to be received (If line 40 is less than line 38 minus line 41, subtract line 40 from the result of line 38
46
minus line 41 .) Allow three months for your refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Explanation of Changes
• Attach additional sheets or schedules if necessary.
• Reference net change and line number.
47a Routing Number
47b Type of Account
Checking
Savings
(Enter 9 digits . First two digits must be 01 through 12, or 21 through 32 .
Use an actual check or savings account number, not a deposit slip .)
(Can be up to 17 characters . Omit hyphens,
47c Account Number
spaces, and special symbols . Enter from left
to right .)
47d
Check this box if this refund will go to a bank account outside the United States .
Under penalties of perjury, I declare that, as taxpayer or preparer, I have examined this return and to the best of my knowledge and belief, it is correct and complete .
sign
here
Your Signature
Date
Email Address
(
)
Spouse’s Signature (if filing jointly, both must sign)
Daytime Phone
paid
preparer’s
Preparer’s Signature
Date
Preparer’s PTIN
Email Address
use only
(
)
Print Firm’s Name (or yours if self-employed), Address and Zip Code
EIN
Daytime Phone
Mail this return and payment to: Nebraska Department of Revenue, PO Box 98911, Lincoln, NE 68509-8911.

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