Form 43 - Nebraska Public Service Entity Tax Report - 2013 Page 62
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63NEBRASKA SCHEDULE 99 - Subdivision Apportionment
FORM 43
for Use by All Public Service Entities
● Complete separate schedule for each county
● If additional space is needed attach a separate sheet
Taxable Year
● Attach this schedule to Form 43
2013
Name and Address as Shown on Form 43
County
Name of Taxing Subdivision
Total Original Cost
Annual Rent Paid
(see instructions)
for Leased Equipment
Total original cost of operating property in county
$
$
$
$
Total original cost of operating property in state (Total of all Schedule 99's filed)
Authorized by Section 77-801
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