Form Cdn - Nebraska Community Development Assistance Act Credit Computation - 2012

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NEBRASKA COMMUNITY DEVELOPMENT ASSISTANCE ACT
FORM CDN
CREDIT COMPUTATION
2012
For use with the Forms noted below.
Name on Return
Social Security Number or Nebraska ID Number
Type of Nebraska Return
1040N
1041N
1065N
1120N
1120NF
1120-SN
PART A — Computation of the Credit
1 Community Development Assistance Act credit approved this year (individuals, partnerships, fiduciaries,
S corporations, and limited liability companies (LLCs), see instructions)................................................................ 1
2 Unused credit carried over from 2007 through 2011 (list years
) ........................... 2
3 Total of your share of distributed credits from line 14 below .................................................................................... 3
4 Total of lines 1, 2, and 3 .......................................................................................................................................... 4
5 Nebraska tax liability (enter line 17, Form 1040N; line 10, Form 1041N; line 13, Form 1120N;
or line 11, Form 1120NF – whichever applies) ........................................................................................................ 5
6 Nebraska personal exemption credit (residents – enter line 19, Form 1040N) ..........
6
7 Credit for tax paid to another state (enter either line 20, Form 1040N; or line 13,
Form 1041N) ..............................................................................................................
7
8 Credit for the elderly or disabled (enter line 21, Form 1040N) ...................................
8
9 Form 3800N nonrefundable credit (enter line 23, Form 1040N; line 15, Form 1041N;
or line 16, Form 1120N – whichever applies) .............................................................
9
10 Other credits:
a Nebraska child/dependent care credit (enter line 24, Form 1040N) ........................ 10a
b Credit for financial institution tax (enter line 25, Form 1040N; or the financial
institution tax credit portion of line 14, Form 1041N – whichever applies) ................ 10b
11 Line 5 minus the total of lines 6 through 10b (if the total is greater than line 5, see instructions) ........................... 11
12 Nebraska Community Development Assistance Act credit claimed for 2012 (line 4 or line 11, whichever is less).
Enter here and on line 22, Form 1040N; line 14, Form 1041N; line 15, Form 1120N; or line 12, Form 1120NF –
whichever applies .................................................................................................................................................... 12
13 Amount to be carried forward to 2013 (line 4 minus line 12) ................................................................................... 13
PART B — For Partners, S Corporation Shareholders, Certain Fiduciary Beneficiaries, and Members of LLCs Only
14 If any of the credit is from a partnership, S corporation, fiduciary, or LLC that distributes its income currently, enter the following information
in the space provided:
Name
Address
Nebraska ID Number
Federal ID Number
Share of Credit
TOTAL of Your Share of Distributed Credits (enter here and on line 3 above) ...........................................................
PART C — For Partnerships, S Corporations, Certain Fiduciaries, and LLCs Only
15 Distribution of Community Development Assistance Act credit among partners, shareholders, beneficiaries, and members of
LLCs. Enter the following information in the space provided:
Names of Partners, Shareholders,
Social Security Number or
Percentage Share of
Share of Credit
Beneficiaries, and Members
Federal ID Number
Income or Ownership
TOTALS
100%
ATTACH THIS FORM TO THE NEBRASKA INCOME, PREMIUMS, OR DEPOSITS TAX RETURN.
, 800-742-7474 (NE and IA), 402-471-5729
8-420-2012

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