Fillable Form 1120n - Nebraska Corporation Income Tax Return

Nebraska Schedule A — Other Adjustments to Federal Taxable Income

FORM 1120N

Schedules

Nebraska Schedule I — Apportionment for Multistate Business

A, I, and II

Nebraska Schedule II — Foreign Dividend and Special Foreign

2013

Tax Credit Deduction

Name on Form 1120N

Nebraska ID Number

24 —

Nebraska Schedule A — Other Adjustments to Federal Taxable Income

• You must use Schedule A if you make an adjustment on line 5 of Form 1120N.

1 State and local government interest and dividend income (see instructions) ..................................................................................... 1

2 Qualified U.S. government interest deduction. Attach supporting schedule ...........................................

3 Foreign dividends, gross-up, or special foreign tax credit deduction (line 12, Neb. Sch. II) ...................

4 Allocable, nonapportionable income

5 Less: Related expenses ..........................................................................

6 Interest expense disallowance .................................................................

7 Net allocable, nonapportionable income (attach affidavit — see instructions) .....................................

8 Nebraska College Savings Program (see instructions) .........................................................................

9 Other adjustments (attach detailed explanation and schedule) .............................................................

10 TOTAL adjustments (line 1 minus the total of lines 2, 3, 7, 8, and 9). Enter here and on line 5, Form 1120N ..................................... 10

Nebraska Schedule I — Apportionment for Multistate Business

1 Adjusted federal taxable income (line 7, Form 1120N) ........................................................................................................................

2 Nebraska apportionment factor (from line 15 below) ..........................................................

3 Taxable income apportioned to Nebraska (line 1 multiplied by line 2). Enter here and on line 8, Form 1120N ..................................

Nebraska Apportionment Factor - Sales or Gross Receipts

Total

Nebraska

4 Sales or gross receipts minus returns and allowances ..................................................

5 Sales delivered or shipped to purchasers in Nebraska: shipped from outside Nebraska ............................................................

6 Sales delivered or shipped to purchasers in Nebraska: shipped from within Nebraska ...............................................................

7 Sales shipped from Nebraska to the U.S. government ................................................................................................................

8 Interest on sales of tangible personal property ..............................................................

9 Interest, dividends, and royalties from intangible property ...............................................

10 Gross rents .................................................................................................................... 10

11 Net gain on sales of intangible property ........................................................................ 11

12 Gross receipts from sales of tangible personal and real

property not included above .......................................................................................... 12

13 Other income (attach schedule) .................................................................................... 13

14 TOTAL SALES OR GROSS RECEIPTS ........................................................................ 14

15 Nebraska apportionment factor. Divide line 14, Nebraska column, by line 14, Total column, and round to six

decimal places. Enter as a percent here and on Schedule I, line 2 above ...................................................................... 15

Nebraska Schedule II — Foreign Dividend and Special Foreign Tax Credit Deduction

• Attach Schedule C, Federal Form 1120.

Foreign Dividend Deduction Computation

NOTE: The Nebraska Foreign Dividend Deduction calculated on lines 1 through 6 is only for those dividends included in federal taxable income from

corporations which are not subject to the Internal Revenue Code (IRC). This includes those corporations whose dividends do not qualify for the dividends

received deduction under IRC § 243.

1 Dividends from foreign corporations and certain FSCs subject to the IRC § 245 deduction

(total of lines 6 and 7, column (a), Schedule C, Federal Form 1120) ..........................................................................................

2 Special deductions on line 1 amount. Enter the total of lines 6 and 7, column (c), Schedule C,

Federal Form 1120 .....................................................................................................................

3 Net foreign dividends subject to the IRC § 245 deduction included in federal taxable income (line 1 minus line 2) ...................

4 Other dividends from foreign corporations. Enter amount from line 13, Schedule C, Form 1120 ...............................................

5 Income from controlled foreign corporations under Subpart F. Enter amount from line 14, Schedule C, Form 1120 ..................

6 Foreign dividend gross-up (IRC § 78). Enter amount from line 15, Schedule C, Form 1120 ......................................................

Special Foreign Tax Credit Deduction Computation

Note: This deduction is only to be claimed when a corporation subject to the IRC is taxed by a foreign country, or one of its political subdivisions,

at a rate in excess of the maximum federal corporate tax rate.

7 Federal taxable income from qualifying foreign taxing jurisdictions

List jurisdictions:

8 Foreign taxes .............................................................................................................................

9 Line 7 minus line 8 ....................................................................................................................

10 Divide line 9 result by .65; enter result here ...............................................................................

11 Special foreign tax credit adjustment (if line 10 is greater than or equal to line 7, enter -0-; if line 10 is less than line 7,

enter the difference) ..................................................................................................................................................................... 11

12 Total foreign dividend and special foreign tax credit deduction, if applicable (total of lines 3, 4, 5, 6, and 11).

Enter here and on line 3, Nebraska Schedule A .......................................................................................................................... 12

Mail this return and remit payment (EFT, if required) to:

Nebraska Department of Revenue, PO Box 94818, Lincoln, NE 68509-4818

revenue.nebraska.gov, 800-742-7474 (NE and IA), 402-471-5729