Form 3800n - Nebraska Employment And Investment Credit Computation For Tax Years After 1997
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1
2NEBRASKA EMPLOYMENT AND INVESTMENT CREDIT COMPUTATION
FORM
for Tax Years after 1997
3800N
• Attach this form to the original or amended return.
beginning
, 19
and ending
, 19
Name as Shown on Return
Social Security No. or Nebraska I.D. No.
Type of Return
(1)
1040N
(4)
1120-SN
Location Address(es) Where Expansion Occurred
County Where Expansion Occurred
(2)
1120N
(5)
1041N
(3)
1065N
(6)
1120NF
1
Qualifying Business Type (check only one–see instructions). If this is your initial claim, attach a complete explanation of your business activity.
Assembly, fabrication, manufacture, or processing of tangible
Conducting research, development, or testing for scientific, agricultural, animal
(1)
(5)
personal property
husbandry, or industrial purposes
Storage, warehousing, distribution, transportation, or sale of
(6)
Performance of data processing, telecommunication, insurance, or financial services
(2)
tangible personal property
Administrative management or headquarters of any activity which includes items 1
(7)
(3)
Feeding of livestock
through 6 above, or the headquarters of a retailer
(4)
Farming or ranching
(8)
Any combination of activities 1 through 7; list types:
3
Total sales which
2
Number of Nebraska business locations: (1)
Single location (2)
Multiple locations (3)
Related parties (see instructions)
are retail (percent):
%
4
Reason for filing (check only one): Caution: You cannot receive credit with an increase in investment only.
(1)
Claim original tax credits (attach a complete
(2)
Claim credit for additional
(3)
Report employment and investment
explanation of your business activity)
employees hired in current year
levels for two years after credits claimed
• Taxpayers claiming original tax credits must increase both employment and investment levels by the required amounts in the same tax year.
QUALIFIED NEBRASKA EMPLOYEE CALCULATION (see instructions)
(B)
Business Began in NE:
/
/
(A)
Full-Time Equivalent
Total Hours Paid
Indicate your NE Withholding Tax No.: 21-
Nebraska Employees
.
5 Equivalent Nebraska employees for current year . . . . . . . . . .
5
.
6 Equivalent Nebraska employees for first preceding year . . . .
6
.
7 Equivalent Nebraska employees for second preceding year .
7
.
8 Equivalent Nebraska employees for third preceding year . . .
8
.
9 Enter highest of lines 6, 7, or 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10 TOTAL increased Nebraska employment eligible for tax credit (line 5 minus line 9; round
.
result down to lower whole number). If less than 2.0, enter zero (-0-) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
0
11 Total tentative employment credit amount (line 10 multiplied by $1,500) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 $
NEBRASKA QUALIFIED INVESTMENT CALCULATION
Enter Tax Year
TOTAL NEBRASKA QUALIFIED INVESTMENT
(C) AVERAGE
Attach worksheet calculating your current
mo. / day / yr.
(Divide Total of Columns
end-of-year total Nebraska qualified investment.
(A) Beginning of Year
(B) End of Year
Beg. Year
Year End
A and B by 2)
12 Current year . . . . . . . . . . . . . . . . . . . . . . .
/
/
/
/
$
$
12 $
13 First preceding year . . . . . . . . . . . . . . . .
/
/
/
/
13
14 Second preceding year . . . . . . . . . . . . . .
/
/
/
/
14
15 Third preceding year . . . . . . . . . . . . . . . .
/
/
/
/
15
16 Enter the current end-of-year investment amount (line 12, Column B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 $
17 Enter the highest of lines 12(A), 13(C), 14(C), or 15(C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 $
18 Total Nebraska qualified investment (line 16 minus line 17). If less than $75,000, enter zero . . . . . . . . . . . . . . 18
.
19 Total calculated investment credits (line 18 divided by $75,000; round result down to lower whole number) . 19
0
20 Total tentative investment credit amount (line 19 multiplied by $1,000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 $
21 Total employment and investment incentive credits (line 11 plus line 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 $
22 Amount of Nebraska sales and use tax refunds claimed to date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Total of your distributed credit amount from line 44, Part A on reverse side . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Total Nebraska employment and investment credits carried forward from earlier years (List years:
) 24
25 Total available credit amounts (total of lines 21, 23, and 24; minus line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 $
26 Nebraska income tax liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
27 Personal exemption credit (1993 and after) (residents only) . . . . . . . . . . . . . . . . . . . 27 $
28 Credit for tax paid to another state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
29 Credit for elderly or handicapped
; Credit for child and dependent care
. . . . 29
30 CDAA Credit
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31 Total nonrefundable credits (total of lines 27 through 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 $
32 Nebraska income tax liability after nonrefundable credits (line 26 minus line 31) . . . . . . . . . . . . . . . . . . . . . . . . 32
33 50 percent of line 32 (multiply line 32 by 0.50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34 Credit used to reduce income tax liability (do not exceed the lesser of line 25 or line 33) . . . . . . . . . . . . . . . . . 34
35 Form 775N credit (from Form 775N and line 50, Part C on reverse side) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
36 Enterprise zone credits (attach Nebraska Schedule I – Enterprise Zone Credit Computation) . . . . . . . . . . . . . 36
37 Amount of recapture (see instructions for lines 41-43). Attach a worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
38 Total Form 3800N credit (total of lines 34, 35, and 36 minus line 37). Enter on Form 1040N, 1120N, or 1041N . . 38
39 Amount of credits distributed to partners, shareholders, and beneficiaries on line 45, Part B on reverse side
39
40 Total Nebr. employment expansion and investment credit to be carried forward (line 25 minus lines 34 & 39)
40 $
8-558-98
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