Form 1120-Sn - S Corporation With Income Derived Form Sources Both Within And Without Nebraska - 2012 Page 3

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FORM 1120-SN
NEBRASKA SCHEDULE III — Subsidiary or Affiliated Corporations
Schedule III
2012
APPORTIONMENT
ID NUMBERS
FACTOR INFORMATION*
Name and Address of All Corporations
Amount of Nebraska
Federal
Nebraska
Sales or Receipts
S Corporation Filing this Return
Parent Corporation, If Different from Above
Subsidiary/Affiliated Corporations
TOTALS
* Complete the apportionment factor information summarizing the numerator of the corporations filing a combined corporation income tax return.

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