Form 1040xn - Amended Nebraska Individual Income Tax Return - 2010 Page 3
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3FORM 1040XN
NEBRASKA SCHEDULE I — Nebraska Adjustments to Income
Schedules
NEBRASKA SCHEDULE II — Credit for Tax Paid to Another State
I, II, and III
NEBRASKA SCHEDULE III — Computation of Nebraska Tax
2010
Name as Shown on Form 1040XN
Social Security Number
Nebraska Schedule I — Nebraska Adjustments to Income
for Nebraska Residents, Nonresidents, and Partial-Year Residents
PART A — Adjustments Increasing Federal Adjusted Gross Income
47 Total adjustments increasing income (include interest from non-Nebraska state and local obligations) .
Correct Amount
Enter here and on line 12 of Form 1040XN . List the items being changed ____________________________
______________________________________________________________________________________ 47
PART B — Adjustments Decreasing Federal Adjusted Gross Income
48 State income tax refund deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
49 Interest or dividend income from U .S . obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
50 Tier I and/or II benefits paid by the Railroad Retirement Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
51 Special capital gains/extraordinary dividends deduction (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
52 Nebraska College Savings Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
53 Bonus depreciation subtraction (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
54 Enhanced section 179 subtraction (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
55 Nebraska Long-Term Care Savings Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
56 Other adjustments decreasing income (see instructions) . List items being changed . _____________________
______________________________________________________________________________________ 56
57 Total adjustments decreasing income (add lines 48 through 56) . Enter here and on line 13, Form 1040XN . . . . . . . 57
Nebraska Schedule II — Credit for Tax Paid to Another State for Full-Year Residents Only
If line 59 or 61 is amended, a copy of the return filed with another state must be attached.
Correct Amount
58 Total Nebraska income tax (line 17, Form 1040XN) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
59 Adjusted gross income (AGI) from another state (do not enter amount of taxable income from the other state)
59
60 Calculated tax credit:
Line 59
=
=
x Line 58
=
60
Line 5 + Line 12 - Line 13 =
61 Tax due and paid to another state (do not enter amount withheld for the other state) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
62 Maximum tax credit (line 58, 60, or 61, whichever is least) . Enter amount here and on line 20, Form 1040XN . 62
Nebraska Schedule III — Computation of Nebraska Tax
Nonresidents and partial-year residents complete lines 63 through 75 below.
Correct Amount
63 Income derived from Nebraska sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
64 Adjustments as applied to Nebraska income . Refer to Form 1040N instructions and list the items being
changed _______________________________________________________________________________
64
65 Nebraska AGI (line 63 minus line 64) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
66 Ratio – Nebraska’s share of the total income (round to four decimal places):
Line 65
=
=
.
Line 5 + Line 12 - Line 13 =
66
67 Nebraska tax table income (from line 14, Form 1040XN) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
67
68 Nebraska total income tax (see instructions):
. Enter difference here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
$
, minus credits: $
69 Enter personal exemption credit (if any) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
70 Difference (line 68 minus line 69) (if less than zero, enter -0-) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
71 Nebraska share of line 70 (multiply line 70 by line 66 ratio) . Enter here and on line 15, Form 1040XN . . . . . . . . . . . . . . 71
72 Nebraska minimum and other taxes (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
73 Nebraska share of line 72 . Subtract any unused personal exemption credit from line 69 .
Multiply the result by the line 66 ratio . Enter here and on line 16, Form 1040XN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
74 Earned income credit (Partial-year residents only)
Number of qualifying children
. Federal earned income credit
x .10 (10%) . . . . . . . . . . .
74
75 Partial-year residents, multiply line 74 by line 66 ratio . Enter here and on line 33, Form 1040XN . . . . . . . . . . . . . . . . . . . . . .
75
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