Form 775n - Nebraska Employment And Investment Growth Act Credit Computation Page 4
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8NEBRASKA SCHEDULE II — Distribution of Employment and Investment
FORM
Growth Act Credit
nebraska
department
775N
of revenue
For Partnerships, S Corporations, and Certain Fiduciaries Only
Name as Shown on Form 775N
Project Name
Nebraska Identification Number
1 Enter in the space provided each partner’s, shareholder’s, or beneficiary’s name, social security number or Nebraska identification
number, share of income or ownership, and distributed share of the credit reported on line 17, Form 775N (or attach a schedule
providing the above information). In the last column indicate whether each partner, shareholder, or beneficiary is subject to income
or franchise tax and sales tax.
Subject to Income
Social Security or
Name of Partner,
Share of
Amount of Credit
and Sales Tax
Nebraska I.D. No.
Shareholder, or Beneficiary*
Income or Ownership
Yes
No
2 TOTAL (enter here, and include on line 17, Form 775N) ....................................
* NOTE: Each partner, S corporation shareholder, and beneficiary should be notified of the distributed share of the credit reported on line
17, Form 775N. Such notice will allow partners, S corporation shareholders, or beneficiaries to complete their Form 3800N, Part C.
ATTACH THIS PAGE TO YOUR NEBRASKA INCOME TAX RETURN
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