Form 1120-Sn - Nebraska S Corporation Income Tax Return - 2005 Page 4
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4NEBRASKA SCHEDULE III —
Nonresident Shareholder’s Share of Bonus
FORM
Depreciation, Enhanced Section 179 Expense
1120-SN
nebraska
Deduction, and Nebraska Income
department
• If you use this schedule, read instructions and attach this page to Form 1120-SN
of revenue
Name as Shown on Form 1120-SN
Nebraska Identification Number
24 —
NAME AND ADDRESS OF EACH NONRESIDENT SHAREHOLDER
Name
State
Zip Code
Street or Other Mailing Address
City
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3
4
5
6
7
8
9
10
COMPUTATION OF NEBRASKA WITHHOLDING TAX
(D)
(C)
(B)
(G)
(A)
Check if
Nebraska Income
(E)
Percent of
Tax Withheld
(F)
Social Security Number
Reported by S Corporation
Form 12N
Column B
Ownership
Column E x Column F
Rate
(Line 6, Form 1120-SN)
Attached
Times Column C
(Attach Form 14N)
1
6.84%
2
6.84%
3
6.84%
4
6.84%
5
6.84%
6
6.84%
7
6.84%
8
6.84%
9
6.84%
10
6.84%
TOTALS
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