Schedule I (Form 1040n) - Nebraska Adjustments To Income - 2014 Page 2

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FORM 1040N

Schedule II

Nebraska Schedule II

— Credit for Tax Paid to Another State

2014

Name on Form 1040N

Social Security Number

Nebraska Schedule II —

Credit for Tax Paid to Another State for FULL-YEAR RESIDENTS ONLY

• Complete a separate Schedule II for each state.

• A complete copy of the return filed with another state must be attached. If the entire return is not attached, credit for tax paid to another state

will not be allowed. Name of state:

72 Total Nebraska tax (line 17, Form 1040N) ............................................................................................................ 72

73 Adjusted gross income derived from another state (do not enter amount of taxable income from the

other state – use Conversion Chart on the Department’s website) ..................................................................... 73

Calculated tax credit:

Line 73

% x Line 72

Line 5 + Line 12 - Line 13

75 Tax due and paid to another state (do not enter amount withheld for the other state – use Conversion Chart

on the Department’s website) .............................................................................................................................. 75

76 Allowable tax credit (line 72, 74, or 75, whichever is least). Enter amount here and on line 20, Form 1040N ..... 76