Form 1040xn - Amended Nebraska Individual Income Tax Return - 2013 Page 2
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3FORM 1040XN
2013
Page 2
Computation of Tax
Correct Amount
(Attach documentation for any change in credits to lines 20 through 34 – see instructions)
18 Amount from line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19 Nebraska personal exemption credit ($126 x the number of exemptions on line 4) . . . . . . . . . . . . . . .
19
20 a Credit for tax paid to another state line 61, Nebraska Schedule II, Form 1040XN . . . . 20 a $__________
(attach Nebraska Schedule II, Form 1040XN and the other state’s dated return); plus
b Prior year AMT credit (attach Form 8801) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 b $__________ .
Enter the total of lines 20a and 20b on line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
21 Credit for the elderly or the disabled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
22 Community Development Assistance Act (CDAA) credit . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
23 Form 3800N nonrefundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
24 Nebraska child/dependent care nonrefundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
25 Credit for financial institution tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
26 Total nonrefundable credits (total of lines 19 through 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
27 Nebraska tax after nonrefundable credits . Line 18 minus line 26 (if less than zero, enter -0-)
27
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28 Nebraska income tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28
29 2013 estimated tax payments (including any 2012 amount carried over) . . . . . . . . . . . . . . . . . . . .
29
30 Form 3800N refundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
31 Nebraska child/dependent care refundable credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
32 Beginning Farmer credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32
33 Nebraska earned income credit .
Number of qualifying children
. Federal credit
x .10 (10%) .
97
98
Enter the result on line 33 . Partial-year residents should complete lines 73 and 74 (new SSN holders see instr .) 33
34 Angel Investment Tax Credit (see Form 1040N instructions) . . . . . . . . . . . . . . . . . . . . . . . . . .
34
35 Amount paid with original return, plus additional tax payments made after it was filed . . . . . . . . . . . . .
35
36 Total payments (add lines 28 through 35) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36
37 Overpayment allowed on original return, plus additional overpayments of tax allowed after it was filed . . . .
37
38 Line 36 minus line 37 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38
39 Penalty for underpayment of estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39
40 Total tax and penalty for underpayment of estimated tax (total of lines 27 and 39) . . . . . . . . . . . . .
40
41 Use tax reported on line 38 of Form 1040N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41
42 Total Amount Due. If line 40 is greater than line 38 minus line 41, subtract the result of line 38
42
minus line 41 from line 40 . Otherwise, skip to line 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43 Penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
44 Interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44
45 Total Balance Due (total of lines 42 through 44) . Pay in full with this return .
Check this box if your payment is being made electronically . . . . . . . . . . . . . . . . . . . . . .
45
46 Refund to be received (If line 40 is less than line 38 minus line 41, subtract line 40 from the result of line 38
minus line 41) . (Allow three months for your refund) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
46
Explanation of Changes
• Attach additional sheets or schedules if necessary.
• Reference net change and line number.
47a Routing Number
47b Type of Account
Checking
Savings
(Enter 9 digits . First two digits must be 01 through 12, or 21 through 32 .
Use an actual check or savings account number, not a deposit slip .)
(Can be up to 17 characters . Omit hyphens,
47c Account Number
spaces, and special symbols . Enter from left to
right and leave any unused boxes blank .)
47d
Check this box if this refund will go to a bank account outside the United States .
Under penalties of perjury, I declare that, as taxpayer or preparer, I have examined this return and to the best of my knowledge and belief, it is correct and complete .
sign
here
Your Signature
Date
Email Address
(
)
Spouse’s Signature (if filing jointly, both must sign)
Daytime Phone
paid
preparer’s
Preparer’s Signature
Date
Preparer’s PTIN
Email Address
use only
(
)
Print Firm’s Name (or yours if self-employed), Address and Zip Code
EIN
Daytime Phone
Mail this return and payment to: Nebraska Department of Revenue, PO Box 98911, Lincoln, NE 68509-8911.
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