Nebraska Shedule K-1n (Form 1065n) - Partner'S Share Of Income, Deductions, Modifications, And Credits - 2012

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FORM 1065N
NEBRASKA SCHEDULE K-1N —
Schedule K-1N
Partner’s Share of Income, Deductions, Modifications, and Credits
2012
PARTNERSHIP’S NAME AND MAILING ADDRESS
PARTNER’S NAME AND MAILING ADDRESS
Name Doing Business As (dba)
Name
Legal Name
Street or Other Mailing Address
Street or Other Mailing Address
City
State
Zip Code
City
State
Zip Code
Check One:
Nebraska ID Number
Federal ID Number
Partnership
LLC
Nebraska ID Number
Federal ID Number
Social Security Number
Spouse’s Social Security Number
Taxable Year of Organization
Check One:
Resident Individual
Nonresident Individual
Estate or Trust
Other (describe) ___________________________________________________
Beginning _________________ , 20 _____ and Ending _________________ , 20 _____
Partnership’s Nebraska
Nebraska Receipts
Total Receipts
Partner’s Share of Income Percentage
If applicable, check the appropriate box:
Apportionment Factor
%
%
Final
Amended
PART A
Partner’s
Share of Income and Deductions
1 Ordinary business income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2 Net income (loss) from rental real estate activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3 Net income (loss) from other rental activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4 Guaranteed payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5 Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Royalty income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8 Net short-term capital gain (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9 Net long-term capital gain (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10 Net Section 1231 gain (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Charitable contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Section 179 expense deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Other deductions and losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
PART B
Partner’s Share of Modifications
15 Qualified U .S . government interest deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 State and local bond interest and dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Income (loss) from non-Nebraska sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PART C
Partner’s Share of Credits
18 CDAA credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Form 3800N credit (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Contractor withholding (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21 Nebraska income tax withheld (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
, 800-742-7474 (NE and IA), 402-471-5729
8-691-2012

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