Form 312n - Nebraska Advantage Act Incentive Computation Page 2
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1
2FORM
Nebraska Advantage Act Incentive Computation
312N
for use with Forms 1120N, 1120-SN, 1120NF, 1065N, 1041N, and 1040N
Page 2
Name on Return
Project Number
Tier
Date of Application Nebraska ID Number
Year End
Section 1 — Analysis of Employment
Statewide Information for Unitary Group (Report Head Count)
A
B
Calendar Quarter
1 Column A. Enter the last day of the calendar quarter prior to the application date.
Year End
___/___/___
___/___/___
1
Column B. Enter the last day of the year reported on this return . . . . . . . . . . . . . . . . . . . . . . .
2 Number of paychecks issued in this last pay period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3 Average annual employee compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Project Information [Report Full-time Equivalent (FTE) Information]
4 Adjusted base-year FTEs (Schedule A, FTE column, line 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5 Average compensation for new employees (Schedule A, line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Income tax withholding ratio for Tiers 1, 2, 3, 4, and 6 (Schedule A, line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 FTE growth (Schedule A, line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
Section 2 — Analysis of Investment
8 Direct refunds for current year investment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9 Current year investment of qualified property (Schedule B, line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10 Cumulative net investment in the project (Schedule B, line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Section 3 — Establishment and Usage of Tax Credits
Investment Credit
Compensation Credit
11 a Tax credits carried forward from prior year’s filing (Form 312N, Page 2, line 21) . . 11a
b Change of tax credits from amended filing (Form 312XN, line 21) . . . . . . . . . . . . . 11b
c Adjustment for recapture or Department determination (Attach an explanation) . . 11c
d Total tax credits carried forward (add lines 11a, 11b, and 11c) . . . . . . . . . . . . . . . . 11d
12 Compensation credits used to offset income tax withholding . . . . . . . . . . . . . . . . . . 12
13 Tax credits used for sales or use tax refunds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Tax credits used for refunds of real estate taxes paid (Tiers 2LDC and 6 only) . . . . . 14
15 Remaining balance of tax credits carried forward (line 11d minus lines 12, 13, and 14)
15
16 Compensation credit earned (Schedule A, line 15). . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Investment credit earned (Schedule B, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Total available tax credits (add lines 15, 16, and 17) . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Tax credits used in current year against income tax liability (enter here and on
Form 3800N, line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Tax credits distributed to partners, shareholders, members, patrons, or
beneficiaries (Schedule II, line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21 Ending balance of tax credits to be carried forward to next year (line 18 minus
lines 19 and 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
8-703-2013 Rev. 5-2016
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