Electing Small Business Trust (ESBT)
FORM 1041N
ESBT Worksheet
Tax Calculation Worksheet
2013
Name on Form 1041N
Nebraska ID Number
1 Total federal income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
00
2 Federal taxable income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
00
Adjustments
3 Income from U .S . government bonds or other U .S . obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
00
4 Income from non-Nebraska state and local bond interest and other Nebraska adjustments
increasing federal taxable income . List the types and enter the total amount on line 4
4
00
5 Nebraska adjustments decreasing federal taxable income . List the types and enter the total amount on line 5
5
00
6 Nebraska taxable income (line 2 plus line 4) minus (lines 3 and 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
00
• Nonresident ESBTs should not make entries on lines 7, 8, or 9 of this worksheet. Nonresident ESBTs must complete the Computation
of Nebraska Tax for Nonresident ESBT section (below) to determine their Nebraska tax.
7 Nebraska income tax (use the tax rate schedule on page 8 of the Form 1041N instructions to calculate
the amount of tax) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
00
8 Nebraska minimum or other tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
00
9 Total Nebraska tax (line 7 plus line 8) . Enter here and include on Form 1041N, page 1, line 9 . . . . . . . . . . . . . . 9
00
Computation of Nebraska Tax For Nonresident ESBT
10 Nebraska taxable income (from line 6 above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
00
11 Nebraska income tax (use the tax rate schedule on page 8 of the Form 1041N instructions to calculate
the amount of tax) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
00
12 Nebraska minimum or other tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
00
13 Total Nebraska tax (line 11 plus line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
00
14 Income derived from Nebraska sources, except capital and ordinary gain (loss) . . . . . . . . . . . . . . . . . . . . . . . . . 14
00
15 Nebraska capital and ordinary gain (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
00
16 Adjustments as applied to Nebraska income, if any .
List: ____________________________________________________________________________________ 16
00
17 Nebraska adjusted gross income (line 14 plus or minus lines 15 and 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
00
18 Nebraska share of line 13 . Compute below, and enter result here and include on Form 1041N, page 1, line 9 .
Calculate the ratio to five decimal places and round to four .
Line 17
.
=
x
=
18
00
(Line 1 + Line 4) – (Line 3 + Line 5)
(Ratio)
(Line 13)
8-599-2013