Form 1120-Sn Schedule I - S Corporation With Income Derived From Sources Both Within And Without Nebraska Nebraska Schedule I-Apportionment For Multistate Business - 2011

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S CORPORATION WITH INCOME DERIVED FROM SOURCES BOTH
FORM 1120-SN
WITHIN AND WITHOUT NEBRASKA
Schedule I
NEBRASKA SCHEDULE I — Apportionment for Multistate Business
2011
• If you use this schedule, read instructions.
Name on Form 1120-SN
Nebraska ID Number
24 —
1 Nebraska adjusted income (line 4, Form 1120-SN) ............................................................................................... 1
00
.
2 Nebraska apportionment factor (line 15 below) .............................................
2
%
3 Income apportioned to Nebraska (line 1 multiplied by line 2). Enter here and on line 5, Form 1120-SN ............... 3
00
NEBRASKA APPORTIONMENT FACTOR – SALES OR GROSS RECEIPTS
Nebraska
Total
Nebraska
Apportionment
Factor
4 Sales or gross receipts less returns and allowances .................
4
00
5 Sales delivered or shipped to purchasers in Nebraska:
Shipped from outside Nebraska ..........................................................................................
5
00
6 Sales delivered or shipped to purchasers in Nebraska:
6
Shipped from within Nebraska ............................................................................................
00
7 Sales shipped from Nebraska to the U.S. government ........................................................
7
00
8 Interest on sales of tangible personal property ..........................
8
00
8
00
9 Interest, dividends, and royalties from intangible property .........
9
9
00
00
10 Gross rents ................................................................................. 10
10
00
00
11 Net gain on sales of intangible property ..................................... 11
11
00
00
12 Gross receipts from sales of tangible personal property and
real property not included above ................................................ 12
00
12
00
13 Other income (attach schedule) ................................................. 13
13
00
00
14 TOTAL SALES OR GROSS RECEIPTS ..................................... 14
14
00
00
15 Nebraska apportionment factor (divide line 14, NEBRASKA column, by line 14, TOTAL column,
.
and round to six decimal places. Enter as a percent here and on Schedule I, line 2 above ................. 15
%
8-289-2011

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