Form 8453n - Nebraska Individual Income Tax Transmittal For E-Filed Returns - 2012 Page 2
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1
2INSTRUCTIONS
NOTE: The submission of a federal self-selected personal identification number (PIN) with a taxpayer’s
e-filed federal income tax return serves as the Nebraska signature on the Nebraska e-filed return.
WHO MUST FILE. Almost all Nebraska returns can be e-filed. However, when you claim certain credits, or
claim a refund for a deceased taxpayer who is not your spouse, additional documentation may be required. The
software you use should prompt you to print the Nebraska Individual Income Tax Transmittal for E-filed Returns,
Form 8453N. Attach the required documentation to Form 8453N and mail to:
Nebraska Department of Revenue
PO Box 98911, Lincoln, NE 68509-8911.
You may also fax this form and the required attachments to 402-471-5927.
WHEN TO FILE. Form 8453N should be mailed with attachments as soon as the Nebraska Acknowledgement
has been received indicating the state return has been accepted. Form 8453N and attachments must be filed
within 15 days of the Nebraska Department of Revenue’s receipt of your e-filed individual income tax return.
NEBRASKA TAX INCENTIVE CREDIT DOCUMENTATION. All required information necessary to support
Form 3800N must be filed with the tax return and cannot be mailed.
SPECIAL CAPITAL GAINS/EXTRAORDINARY DIVIDEND ELECTION AND COMPUTATION. Attach
Federal Schedule D (Form 1040) and Federal Form 8949. If filed federally, attach Federal Form 6252.
RETENTION OF RECORDS. You must retain the state copies of Forms W-2, W-2G, 1099-MISC, and 1099-R,
and all other state documentation for a period of at least three years from the due date of the related return.
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