Form 1040n - Nebraska Individual Income Tax Return - 2013

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Nebraska Individual Income Tax Return
FORM 1040N
2013
for the taxable year January 1, 2013 through December 31, 2013 or other taxable year:
, 2013 through
,
Your First Name and Initial
Last Name
PLEASE DO NOT WRITE IN THIS SPACE
If a Joint Return, Spouse’s First Name and Initial
Last Name
Current Mailing Address (Number and Street or PO Box)
City
State
Zip Code
Important:
SSN(s) must be entered below.
High School District Code
Your Social Security Number
Spouse’s Social Security Number
(1)
Farmer/Rancher
(2)
Active Military
(1)
Deceased Taxpayer(s)
(first name & date of death):
1
Federal Filing Status:
(1)
Single
(3)
Married, filing separately –
(4)
Head of Household
Spouse’s SSN:
(2)
Married, filing jointly
(5)
Widow(er) with dependent children
and Full Name
2a Check if YOU were:
2b
(1)
65 or older
(2)
Blind
Check here if someone (such as your parent) can claim you or
SPOUSE was:
(3)
65 or older
(4)
Blind
your spouse as a dependent: (1)
You
(2)
Spouse
3 Type of Return:
(2)
Partial-year resident from
/
, 2013 to
/
, 2013 (attach Schedule III)
(1)
Resident
(3)
Nonresident (attach Schedule III)
4 Federal exemptions (number of exemptions claimed on your 2013 federal return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5 Federal adjusted gross income (AGI) (Federal Form 1040EZ, line 4; Federal Form 1040A, line 21;
5
Federal Form 1040, line 37) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
6 Nebraska standard deduction (if you checked any boxes on line 2a or 2b above,
see instructions; otherwise, enter $6,100 if single; $12,200 if married, filing jointly or
00
6
qualified widow[er]; $6,100 if married, filing separately; or $8,950 if head of household)
00
7 Total itemized deductions (Federal Schedule A, line 29 – see instructions) . . . . . . .
7
8 State and local income taxes (Federal Form 1040, line 5, Schedule A –
00
see instructions .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
9 Nebraska itemized deductions (line 7 minus line 8) . . . . . . . . . . . . . . . . . . . . . . . . .
9
10 Nebraska standard deduction or the Nebraska itemized deductions, whichever is greater
00
(the larger of line 6 or line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
00
11 Nebraska income before adjustments (line 5 minus line 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
00
12 Adjustments increasing federal AGI (line 53, from attached Nebraska Schedule I) 12
00
13 Adjustments decreasing federal AGI (line 71, from attached Nebraska Schedule I) 13
14 Nebraska Taxable Income (enter line 11 plus line 12 minus line 13) . If less than -0-, enter -0- .
Residents complete lines 15 and 16 . Partial-year residents and nonresidents complete
00
Nebraska Schedule III before continuing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Nebraska income tax (Resident paper filers may use the Nebraska Tax Table .
All others must use Tax Calculation Schedule . Partial-year residents and
00
nonresidents enter the result from line 85, Nebraska Schedule III) . . . . . . . . . . . . . 15
16 Nebraska minimum or other tax:
a Federal Alternative Minimum Tax (recalculated Form 6251) . 16 a $ ___________
b Federal Tax on Lump Sum Distributions (Form 4972) . . . . . 16 b $ ___________
c Federal tax on early distributions (lesser of Form 5329 or
line 58 Form 1040) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 c $ ___________
d Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 d $ ___________
Residents multiply line 16d by 29 .6% ( .296) and enter the result
on line 16 . Partial-year residents and nonresidents enter the result from line 86,
00
Nebraska Schedule III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Total Nebraska tax before personal exemption credit (add lines 15 and 16) .
00
Do not pay the amount on this line . Pay the amount from line 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Complete Reverse Side
8-417-2013

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