Form 775n - Nebraska Employment And Investment Growth Act Credit Computation Page 2
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8NEBRASKA EMPLOYMENT AND INVESTMENT GROWTH ACT CREDIT COMPUTATION, Page 2
Project Name
Social Security or Nebraska I.D. No.
Company Name
QUALIFICATION LEVELS
Fifth Year ________
Sixth Year ________
Seventh Year ________
Eighth Year ________
Ninth Year ________
Corrected
Corrected
Corrected
Corrected
Corrected
(If corrected,
(If corrected,
(If corrected,
(If corrected,
(If corrected,
1 Taxable year ending (see instructions) . . . . . . . . . . . . . . .
1
attach explanation)
attach explanation)
attach explanation)
attach explanation)
attach explanation)
2 Total cumulative net investment in the project at taxable
$
$
$
$
$
year end. (Qualified property placed in service on or after
the date of application, net of: sales tax, retirements of
qualified property, and expired or cancelled qualified leases) 2
3 Current year investment of qualified property (net of sales
tax paid) (line 5 from Worksheet C-2 in instructions) (for
1987 applications, use Worksheet C-1) . . . . . . . . . . . . . . .
3
4 Number of new employees at taxable year end (see
Worksheet A-2 in instructions) (for 1987 applications,
use Worksheet A-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5 Total refundable sales and use tax paid at the project
$
$
$
$
$
at year end . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
EMPLOYEE AND WAGE INFORMATION
6 Enter in columns F through J the last day of each
(F)
(G)
(H)
(I)
(J)
tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Total number of actual employees in Nebraska at each
date (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8 Average annual wage per employee for jobs created
$
$
$
$
$
in Nebraska after the application date . . . . . . . . . . . . . . . .
8
APPLICATION OF CREDITS
9 Allowable compensation credit of current taxable year
$
$
$
$
$
(see Worksheet B-2 in instructions) (for 1987 applications,
use Worksheet B-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10 Allowable investment credit of current taxable year (see
Worksheet C-2 in instructions) (for 1987 applications, use
Worksheet C-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Total allowable credit of current taxable year (total of
$
$
$
$
$
lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Amount of credit carried forward from previous year . . . . . 12
13 Amount of distributed credit received during the
current year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Total available credit in current year (total of lines 11,
$
$
$
$
$
12, and 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Amount of credit taken in current year against income
tax liability (enter amount here and on appropriate line
of Form 3800N) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Amount of credit used to receive sales and use tax
refunds on other property used at the project
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Amount of credit distributed to partners, S corporation
shareholders, or certain fiduciary beneficiaries
(line 2 on Schedule ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Ending balance of total credit to be carried forward to
$
$
$
$
$
following year’s line 12 (line 14 minus lines 15, 16, and 17) 18
ATTACH THIS FORM TO NEBRASKA INCOME TAX RETURN
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