Form 1120xn - Amended Nebraska Corporation Income Tax Return
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1
2AMENDED NEBRASKA CORPORATION
FORM
INCOME TAX RETURN
1120XN
n e
de p
Taxable year beginning
,
and ending
,
of
PLEASE DO NOT WRITE IN THIS SPACE
nebraska
nebraska
department
department
of revenue
of revenue
Name
RESET FORM
Street or Other Mailing Address
Name and Address Used on Original Return (if same as above, write “same”)
City or Town
State
Zip Code
Nebraska Identification Number
Federal Identification Number
24 —
A Is an amended federal return being filed?
B Has the original federal return been
C Are you filing to claim a carryback of a net
D Has the corporation been advised
changed or corrected by the I.R.S.?
operating or capital loss? (see instructions)
that the original 1120N is being or
YES
NO
will be audited?
YES
NO
YES
NO If Yes, year of loss:
If Yes, attach a complete copy of Federal
YES
NO
Form 1120X.
If Yes, identify office:
(No carrybacks are allowed after 1986.)
Corporation Filing Status. Answer questions E through H, as applicable.
E Is this a corporation that owns at least 50% of another
H Check the method used to determine Nebraska income
F Is a single Nebraska return being filed for the entire
corporation; or is owned at least 50% by another
group?
(check only one):
corporation?
Combined report of a controlled group of corporations
YES
NO
YES
NO
Separate report by a member of a controlled group of
G Are you filing as a unitary group in any other state?
If Yes, attach Federal Form 851 or a schedule of
corporations
affiliated corporations and federal identification numbers
YES
NO
Alternate method (attach approval)
and answer questions F, G, and H.
(A) As Originally Reported
(B) Net Change (Explain
Computation of Tax
(C) Correct Amount
or As Adjusted
on Reverse Side)
1 Federal gross sales or receipts . . . . . . . . . . . . . . . . . . . . . . .
1
1
2 Federal taxable income . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2
3 Adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3
4 Adjusted federal taxable income (line 2 plus or minus line 3)
4
4
5 Nebraska taxable income before adjustments. . . . . . . . . . . .
5
5
6 Adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
6
7 Nebraska taxable income (line 5 plus or minus line 6) . . . . .
7
7
8 Nebraska income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
8
9 Credit for in lieu of intangible tax paid, if any . . . . . . . . . . . . .
9
9
10 Renewable energy source systems credit (1982-1987). . . . . 10
10
11 Nebraska Charitable Endowment Tax credit (attach statement) 11
11
12 CDAA credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
12
13 Form 3800N nonrefundable credit . . . . . . . . . . . . . . . . . . . . . 13
13
14 Total nonrefundable credits (total of lines 9 through 13) . . . . 14
14
15 Subtract line 14 from line 8 (if less than zero, enter -0-) . . . . 15
15
16 Nebraska depreciation surcharge (see instructions) . . . . . . . 16
16
17 Total income tax and dpr. surcharge (line 15 plus line 16). . . 17
17
18 Form 4136N credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
18
19 Form 3800N refundable credit . . . . . . . . . . . . . . . . . . . . . . . . 19
19
20 Beginning Farmer credit (attach certificate) . . . . . . . . . . . . . . . 20
20
21 Tax deposited with Form 7004N . . . . . . . . . . . . . . . . . . . . . . 21
21
22 Estimated payments (minus any Form 4466N adjustments)
22
22
23 Total payments (total of lines 18 through 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Tax paid with original return, plus additional payments made after it was filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
25 Line 23 plus line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
26 Overpayment allowed on original return, plus additional overpayments allowed after it was filed . . . . . . . . . . . . . 26
27 Line 25 minus line 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
28 Nebraska income tax and depreciation surcharge due (line 17 minus line 27) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
29 Penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
30 Interest due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31 BALANCE DUE (total of lines 28 through 30) Check this box if payment is being made by Electronic
Funds Transfer (EFT) or by credit card
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
32 REFUND (line 27 minus line 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Under penalties of perjury, I declare that as taxpayer or preparer I have examined this return, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is correct and complete.
sign
here
Signature of Officer
Date
Signature of Preparer Other Than Taxpayer
Date
(
)
(
)
Title
Telephone Number
Address
Telephone Number
(
)
Authorized Contact Person
Title
Telephone Number
8-194-1971 Rev. 11-2006 Supersedes 8-194-1971 Rev. 11-2005
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