Form 1120-Sn - Nebraska S Corporation Income Tax Return - 2004 Page 2
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4S CORPORATION WITH INCOME DERIVED FROM SOURCES BOTH
FORM
WITHIN AND WITHOUT NEBRASKA
nebraska
NEBRASKA SCHEDULE I — Apportionment of Income
1120-SN
department
• If you use this schedule, read instructions
of revenue
Name as Shown on Form 1120-SN
Nebraska Identification Number
24 —
1 Nebraska adjusted income (line 5, Form 1120-SN) .............................................................................................. 1
.
2 Nebraska apportionment factor (line 13 below) ............................................................
2
3 Income apportioned to Nebraska (line 1 multiplied by line 2). Enter on line 6, Form 1120-SN ............................ 3
NEBRASKA
TOTAL
NEBRASKA
APPORTIONMENT FACTORS
APPORTIONMENT
FACTOR
Sales or Gross Receipts
4 Sales or gross receipts minus returns and allowances .............
4
5 Sales delivered or shipped to purchasers in Nebraska:
a Shipped from outside Nebraska ......................................................................................
5 a
b Shipped from within Nebraska ........................................................................................
5 b
6 Sales shipped from Nebraska to the U.S. government ......................................................
6
7 a Interest on sales of tangible property .....................................
7 a
b Interest, dividends, and royalties from intangible property ....
7 b
8 Gross rents ................................................................................
8
9 Net gain on sales of intangible property ....................................
9
10 Gross receipts from sales of tangible personal and real
property not included above ...................................................... 10
11 Other income (attach schedule) ................................................ 11
12 TOTAL SALES OR GROSS RECEIPTS ................................... 12
13 Nebraska apportionment factor (divide line 12, NEBRASKA column, by line 12, TOTAL column, calculate to
.
at least five decimal places and round to four). Enter here and on line 2 above ........................................................ 13
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