Form 1120xn - Amended Nebraska Corporation Income Tax Return
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5Amended Nebraska Corporation Income Tax Return
FORM
for Tax Years After 2013
1120XN
Taxable year beginning
,
and ending
,
PLEASE DO NOT WRITE IN THIS SPACE
Name Doing Business As (dba)
Legal Name
Street or Other Mailing Address
City
State
Zip Code
Federal ID Number
Nebraska ID Number
24 –
Name and Address Used on Original Return (if same as above, write “same”)
A Is an amended federal return being filed?
B Has the original federal return been
C Has a Federal Form 872 or 872-A been filed for
D Has the corporation been advised
changed or corrected by the IRS?
the year you are amending?
that the Form 1120N is being or
YES
NO
will be audited?
YES
NO
YES
NO
If Yes, attach a complete copy of Federal
YES
NO
Form 1120X.
If Yes, identify office:
If Yes, attach a copy of the Form 872 or 872-A.
Corporation Filing Status. Answer questions E through H, as applicable.
H Check the method used to determine Nebraska income
E Does this corporation own at least 50% of another
F Is one single Nebraska return being filed for the
corporation; or is it owned at least 50% by another
entire group?
(check only one):
corporation?
Combined report of a controlled group of corporations
YES
NO
YES
NO
Separate report by a member of a controlled group of
G Are you filing as a unitary group in any other state?
If Yes, attach Federal Form 851 or a schedule of
corporations (attach supporting documentation)
affiliated corporations and federal ID numbers.
YES
NO
Alternate method (attach Department of Revenue approval)
Answer questions F, G, and H.
(A) As Originally Reported
(B) Net Change (Explain
Computation of Tax
(C) Correct Amount
or As Adjusted
on Reverse Side)
1 Federal gross sales or receipts less returns and allowances
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1
2 Federal taxable income (FTI) . . . . . . . . . . . . . . . . . . . . . . . . .
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2
3 Adjustments increasing FTI . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3
4 Adjustments decreasing FTI . . . . . . . . . . . . . . . . . . . . . . . . .
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5 Adjusted FTI (enter line 2 plus line 3 minus line 4) . . . . . . . .
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6 Nebraska taxable income before Nebraska carryovers . . . . .
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7 Nebraska capital loss carryover (attach worksheet) . . . . . . . .
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8 Nebraska taxable income after Nebraska capital loss
carryover (line 6 minus line 7) . . . . . . . . . . . . . . . . . . . . . . . .
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8
9 Nebr. net operating loss carryover (see instr. - attach worksheet)
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10 Net Nebraska taxable income (line 8 minus line 9) . . . . . . . . . 10
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11 Nebraska tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
11
12 Premium tax credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
12
13 Community Development Assistance Act credit . . . . . . . . . . . 13
13
14 Form 3800N nonrefundable credit (attach Form 3800N) . . . . 14
14
15 Total nonrefundable credits (total of lines 12 through 14) . . . . 15
15
16 Nebraska tax after nonrefundable credits. Subtract line 15
from line 11 (if less than zero, enter -0-) . . . . . . . . . . . . . . . . . 16
16
17 Form 3800N refundable credit (attach Form 3800N) . . . . . . . 17
17
18 Beginning Farmer credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
18
19 Nebraska income tax withheld . . . . . . . . . . . . . . . . . . . . . . . . 19
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20 Tax deposited with Form 7004N . . . . . . . . . . . . . . . . . . . . . . . 20
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21 Estimated payments (minus any Form 4466N adjustments)
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22 Tax paid with original return, plus additional payments made after it was filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Total payments (add lines 17 through 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Overpayment allowed on original return, plus additional overpayments allowed after it was filed . . . . . . . . . . . . . 24
25 Line 23 minus line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
26 Nebraska income tax due (line 16 minus line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
27 Penalty for underpayment of estimated tax (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
28 Total tax and penalty for underpayment of estimated tax (total of lines 26 and 27) . . . . . . . . . . . . . . . . . . . . . . . . 28
29 Penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
30 Interest due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31 Balance Due (total of lines 28 through 30)
Check this box if payment is being made electronically . . . . 31
32 Refund (line 25 minus line 16) Complete the direct deposit information on the reverse side to receive your
refund electronically . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Complete Reverse Side
Mail this return and remit payment (electronically, 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
8-745-2014
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