Form W-3n - Nebraska Reconciliation Of Income Tax Withheld Page 2
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1
2INSTRUCTIONS
WHO MUST FILE. Every employer or payor withholding Nebraska
Interest is at the rate shown on line 16. Compute by calculating the
income taxes from employees or payees must file a Nebraska
number of days from February 1 to the date of payment. Use the
Reconciliation of Income Tax Withheld, Form W-3N. You must apply
following formula to calculate the interest due:
for a withholding number on a Nebraska Tax Application, Form 20.
Tax Due x Interest x
Number
You will be issued a withholding certificate by the Nebraska
Interest Due = (line 14)
Rate
of days
Department of Revenue (Department).
365
A penalty of $2 per statement, not to exceed $2,000, may be imposed
If you are licensed for withholding, you must file a Form W-3N, even
by the Department for failure to file the state copy of any Federal
if no payments were made which were subject to withholding, or if
Withholding Forms) on or before the due date of Form W-3N, or for
the license was cancelled during the year.
failure to e-file when filing more than 50 forms.
WHEN AND WHERE TO FILE. E-file or attach the Nebraska
SPECIFIC INSTRUCTIONS
copies of the following federal withholding forms for each employee
LINES 2 THROUGH 5. Enter the total Nebraska income subject
or payee who had Nebraska income tax withheld:
to withholding as shown on all Federal Withholding Forms. When
1. Wage and Tax Statement, Federal Form W-2;
entering on lines 2 through 5, only include amounts once. These
lines must be completed regardless of the method used to file these
2. Statement for Recipients of Certain Gambling Winnings,
forms (for example, actual forms, e-filing, or combined federal/
Federal Form W-2G;
state filing).
3. Distribution from Pensions, Annuities, Retirement, or Profit-
LINE 5. Enter the amount of nonemployee compensation which was
Sharing Plans, IRAs, Insurance Contracts, etc., Federal Form
subject to withholding as nonresident personal service payments.
1099-R; and
The amount entered should be the gross amount of payment before
4. Statement for Recipients of Miscellaneous Income, Federal
deduction of expenses. Also include on this line any mandatory
Form 1099-MISC.
5% income tax withholding made by construction contractors for
payments made to subcontractors. Go to , then
Employers reporting more than 50 state copies of Forms W-2 and
click on “Construction Contractors,” for additional information.
1099 must e-file these forms. Please refer to
LINE 8. Enter on line 8 the total amount of incentive credits used
for more information on e-filing. Form W-3N can now be filed
during this reporting year. If the Department has preidentified an
using the Department’s NebFile for Business filing program.
amount on this line, you must correct it to reflect any amount of
incentive credit taken on your fourth quarter, Form 941N. If the
Form W-3N is due on February 1, 2012, along with payment of any
annual reconciliation of your withholding shows additional tax due,
amount shown on line 17. If required, payment must be made by
and you wish to offset it with available incentive credits, also add this
electronic funds transfer (EFT). Do not send any other remittance
amount to line 8. Attach the
Incentive Withholding Worksheet
which
with the Form W-3N. Checks written to the Nebraska Department of
is available at .
Revenue may be presented for payment electronically.
LINES 9 THROUGH 11. The amounts for these lines have been
EXTENSION OF TIME. An extension of time to file Form W-3N
completed with the amounts of tax reported on the quarterly returns
can be can be requested of the Department in writing. The request
received and processed by this Department. Do not change any
should include the employer’s or payor’s Nebraska ID number and
of these amounts without first contacting the Department. These
the period of time for which an extension is requested. An extension
amounts are tax only and do not include any penalty or interest paid.
may be granted for a period not to exceed 45 days from the original
No payments of penalty and interest can be applied to the tax due.
due date. Mail this request to: Nebraska Department of Revenue,
LINE 12. Enter only the amount of tax reported on line 6 of the
PO Box 98915, Lincoln NE 60509-8915.
Form 941N for the tax period ending December 31. Annual filers
Any extension granted does not extend the time allowed to submit
should enter the tax reported for the entire year. Do not include
copies of Federal Withholding Forms to employees or payees. The
any penalty and interest paid with your Form 941N.
employee’s copy must be received by February 1 following the close
LINE 17. Any balance due of $2 or more must be paid.
of the calendar year. If employment is terminated before the close
LINE 18. Any amount entered as an overpayment must be explained
of the year and the employee makes a request in writing, then the
in the space provided. As part of the explanation, include the total
employer must provide the employee’s copy of the applicable form
Nebraska income tax withheld for each quarter, and the total
within 30 days after the last payment.
Nebraska income tax paid to the Department for each quarter.
PREIDENTIFIED RETURN. Form W-3N must be used only by
An overpayment of $2 or more will be transferred to the next tax
the employer or payor whose name is printed on it. If you have not
year. The Department will verify the credit and enter it on your
received a preidentified Form W-3N for the reporting period, request
preidentified Form 941N. Do not use the resulting credit until it
a duplicate from the Department. Do not file Forms W-3N which
appears on line 12 of your preidentified Form 941N.
are photocopies, are from other tax periods, or are not preidentified.
An overpayment of $2 or more will be refunded if this is your final
If the business name, location, or mailing address is not correct,
return, or if you indicate in your explanation that the overpayment
mark through the incorrect information and plainly print the correct
exceeds the amount of tax you expect to owe next year.
information. If you file your return electronically and need to
SIGNATURES. Form W-3N must be signed by the taxpayer,
report an address change, please use the Nebraska Change Request
Form 22 which can be found at . Mail Form 22
partner, member, or corporate officer. If the taxpayer authorizes
to: Nebraska Department of Revenue, PO Box 98903, Lincoln NE
another person to sign the form, there must be a power of attorney
68509-8903.
on file with the Department.
Any person paid for preparing a taxpayer’s Form W-3N must also
PENALTY AND INTEREST. Penalty and interest are imposed
sign the form as preparer.
for failure to timely remit income tax withheld. A 5% penalty and
interest are due with this form only if a balance due is shown on
Visit , or call 800-742-7474 (NE and IA) or
402-471-5729.
line 14. If line 14 is zero or a credit, do not compute lines 15 and 16.
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