Form 1040xn - Amended Nebraska Individual Income Tax Return - 2010 Page 2

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FORM 1040XN
2010
Page 2
Computation of Tax
Correct Amount
18 Amount from line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19 Nebraska personal exemption credit ($118 x the number of exemptions on line 4) . . . . . . . . . . . . . . .
19
20 Credit for tax paid to another state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
21 Credit for the elderly or the disabled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
22 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 (if less than zero, enter -0-)
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
28 Nebraska income tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28
29 Estimated tax payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29
30 Form 3800N refundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
31 Nebraska child/dependent care refundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
32 Beginning Farmer credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32
33 Nebraska earned income credit .
Number of qualifying children
. Federal credit
x .10 (10%) .
97
98
33
Enter the result in line 33 . Partial-year residents should complete lines 74 and 75 . . . . . . . . . . . . . . .
34 Amount paid with original return, plus additional tax payments made after it was filed . . . . . . . . . . . . .
34
35 Total payments (add lines 28 through 34) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35
36 Overpayment allowed on original return, plus additional overpayments of tax allowed after it was filed . . . .
36
37 Line 35 minus line 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
38 Penalty for underpayment of estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38
39 Total tax and penalty for underpayment of estimated tax. (total of lines 27 and 38) . . . . . . . . . . . .
39
40 Use tax reported on line 37 of Form 1040N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
40
41 TOTAL AMOUNT DUE. If line 39 is greater than line 37 minus line 40, subtract the result of line 37
41
minus line 40 from line 39 . Otherwise, skip to line 45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42 Penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42
43 Interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
44 Total BALANCE DUE (total of lines 41 through 43) . Pay in full with this return . . . . . . . . . . . . . . . . .
44
45 REFUND to be received (If line 39 is less than line 37 minus line 40, subtract line 39 from the result of line 37
45
minus line 40) . (Allow three months for your refund) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Explanation of Changes
• Attach additional sheets or schedules if necessary.
• Reference net change and line number.
Expecting a Refund? Have it sent directly to your bank account!
46a Routing Number
46b 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 .)
46c Account Number
(Can be up to 17 characters . Omit hyphens, spaces, and special symbols . Enter from left to right and leave any unused boxes blank .)
46d
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
E-Mail Address
(
)
Spouse’s Signature (if filing jointly, both must sign)
Daytime Phone
paid
preparer’s
Preparer’s Signature
Date
Preparer’s PTIN
E-Mail 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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