Schedule I (Form 1120-Sn) - Apportionment For Multistate Business - 2013 Page 2

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Nebraska Schedule II —
FORM 1120-SN
Schedule II
Nonresident Individual Shareholder’s Share of Nebraska Income
2013
• If you use this schedule, read the instructions and attach this page to Form 1120-SN.
Name on Form 1120-SN
Nebraska ID Number
24 —
Part A – Name And Address Of Each Nonresident Shareholder
Name
Street or Other Mailing Address
City
State
Zip Code
1
2
3
4
5
6
7
8
9
10
Part B – Complete For Nonresident Individual Shareholders Only
 
• Do not include corporations, estates, or trusts.
 
• Line numbers in Part B correspond to line numbers in Part A.
Computation Of Nebraska Tax Withheld
(D)
(C)
(B)
(G)
(A)
Nebraska Income
Check if
(E)
Percent of
Tax Withheld
(F)
Social Security Number
Reported  by S Corporation
Form 12N
Column (B)
Ownership
Column (E) x Column (F)
Rate
(Line 5, Form 1120-SN)
Attached
Times Column (C)
(Enter on Nebr. Sch. K-1N)
1
.0684
00
00
00
2
.0684
00
00
00
3
.0684
00
00
00
4
.0684
00
00
00
5
.0684
00
00
00
6
.0684
00
00
00
7
.0684
00
00
00
8
.0684
00
00
00
9
.0684
00
00
00
10
.0684
00
00
00
TOTALS
00
00

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