Form 1040n - Nebraska Schedule I - Nebraska Adjustments To Income - 2016 Page 2
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1
2
3FORM 1040N
Schedule II
Nebraska Schedule II
— Credit for Tax Paid to Another State
2016
Name on Form 1040N
Social Security Number
Nebraska Schedule II —
Credit for Tax Paid to Another State for FULL-YEAR RESIDENTS ONLY
• Complete a separate Schedule II for each state.
• A complete copy of the return filed with another state must be attached. If the entire return is not attached, credit for tax paid to another state
will not be allowed. Name of state:
1 Total Nebraska tax (line 17, Form 1040N) ..........................................................................................................
1
00
2 Adjusted gross income derived from another state (do not enter amount of taxable income from the
2
other state – use Conversion Chart on the Department’s website) .....................................................................
00
3 Ratio
Line 2
=
=
=
.
(From Form 1040N, Lines 5 + Line 12 – Line 13)
+
–
3
4 Calculated Tax Credit. Line 1 multiplied by line 3 ratio .......................................................................................
4
00
5 Tax due and paid to another state (do not enter amount withheld for the other state – use Conversion Chart
5
00
on the Department’s website) ..............................................................................................................................
6 Allowable tax credit (line 1, 4, or 5, whichever is least). Enter amount here and on line 20, Form 1040N ..........
6
00
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