Fillable Form 1041n - Nebraska Fiduciary Income Tax Return

FORM 1041N

Nebraska Schedule I

—

Computation of Nebraska Tax

Schedules

Nebraska Schedule II

Nonresident Beneficiary’s Share of Nebraska Income,

—

I, II, and III

Deductions, and Credits

2015

Nebraska Schedule III

—

Credit for Tax Paid to Another State

Name on Form 1041N

Nebraska ID Number

23 —

Nebraska Schedule I — Computation of Nebraska Tax for Nonresident Estate or Trust

28 Nebraska taxable income (line 7, Form 1041N) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

29 Nebraska income tax on line 28 amount (see line 8 instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

30 Nebraska other tax (see line 9 instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

31 Total Nebraska tax (line 29 plus line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

32 Income derived from Nebraska sources, except capital and ordinary gain (loss) (attach schedule)

(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

33 Nebraska capital and ordinary gain (loss) (attach schedule) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 33

34 Adjustments, if any, applied to Nebraska income (see instructions)

List:

35 Nebraska adjusted gross income (line 32 plus or minus lines 33 and 34) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

36 Nebraska share of line 31. Compute below, and enter result here and on line 10, Form 1041N.

Calculate the ratio to five decimal places and round to four

Line 35

= .

(Line 1 + Line 4) - (Lines 3, 5, and 6)

(Ratio)

(Line 31)

Nebraska Schedule II — Nonresident Beneficiary’s Share of Nebraska Income, Deductions, and Credits

Note: If simple trust with out-of-state beneficiaries and only portfolio income, do not complete Schedule II. Instead check this box.

Name And Address Of Each Nonresident Beneficiary

Name

Street or Other Mailing Address

City

State

Zip Code

Computation Of Nebraska Tax Withheld

(D)

(A)

(B)

(C)

(G)

(E)

Check if

Social Security Number or

Nebraska Income

Nebraska

Nebr. Income Tax Withheld

Nebraska Income

(F)

Form 12N

Nebraska ID Number

(see instructions)

Deductions

[Col. (E) times Col. (F)]

Subject to Withholding

Rate

Attached

of Nonresident Beneficiary

(Enter on Nebr. Sch. K-1N)

[Column (B) minus Column (C)]

.0684

5 TOTALS [enter total of column

(G) on line 11, Form 1041N]

Nebraska Schedule III — Credit for Tax Paid to Another State for Resident Estate or Trust Only

A copy of the return filed with another state must be attached. If the other state return is not attached, this credit will not be allowed.

1 Nebraska tax (line 10, Form 1041N) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Taxable income from another state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Computed tax credit

Line 2, Schedule III

Line 1, Schedule III

Line 7, Form 1041N

4 Tax due and paid to another state (attachment required) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Maximum tax credit (line 1, 3, or 4, whichever is least). Enter amount here and on line 13, Form 1041N . . . . .

revenue.nebraska.gov, 800-742-7474 (NE and IA), 402-471-5729