Form 1040xn - Amended Nebraska Individual Income Tax Return - 2007
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1
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3Amended Nebraska Individual Income Tax Return
FORM 1040XN
2007
Taxable Year of Original Return
beginning _____________, ______and ending _______________ , ______
PLEASE DO NOT WRITE IN THIS SPACE
First Name(s) and Initial(s)
Last Name
Home Address (Number and Street or Rural Route and Box Number)
Your Social Security Number
Spouse’s Social Security Number
City, Town, or Post Office
State
Zip Code
(1)
Farmer/Rancher
(2)
Active Military
(3)
Deceased (first name & date of death)
Are you filing this amended return because:
Are you filing for a refund based on:
a. The Nebraska Department of Revenue has
YES
NO
a. The filing of a federal amended return or claim for refund?
YES
NO
notified you that your return will be audited?
Attach copies of Federal Form 1045 or 1040X and supporting schedules.
b. The Internal Revenue Service has corrected
YES
NO
b. Carryback of a net operating loss or section 1256 loss?
YES
NO
your federal return?
If Yes, year of loss:
Amount: $
If Yes, identify office:
Attach copies of Federal Form 1045 or 1040X and supporting schedules, including
and attach a copy of changes from Internal Revenue Service.
Nebraska NOL Worksheet
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CHECK IF: (on federal return)
Original Amended
TYPE OF RETURN BEING FILED
FEDERAL FILING STATUS: (check only one for each return):
Original
Amended
(check only one for each return):
(1) You were 65 or over
Original
Amended
(1) Single
(2) You were blind
(1) Resident
(2) Married, filing joint
(2) Partial-year
(3) Spouse was 65 or over
(3) Married, filing separate
resident
(4) Spouse was blind
Spouse’s S.S. No.:
from
/
/
(5) You or your spouse can be claimed
(4) Head of household
to
/
/
as a dependent on another person’s
(5) Widow(er) with dependent child(ren)
return
(3) Nonresident
4 Federal exemptions (number of exemptions claimed on your federal return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
(A) As Reported or Adjusted
(B) Net Change
(C) Correct Amount
Computation of Tax
5 Federal adjusted gross income (AGI) . . . . . . . . . . . . . . . . .
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6 Nebraska standard deduction (see Form 1040N instructions) 6
6
7 Total itemized deductions (see instructions) . . . . . . . . . . . .
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8 State and local income tax included in line 7 . . . . . . . . . . .
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9 Nebraska itemized deductions (line 7 minus line 8) . . . . . .
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10 Amount from line 6 or line 9, whichever is greater . . . . . . . 10
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11 Nebr. income before adjustments (line 5 minus line 10) . . . 11
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12 Adjustments increasing federal AGI . . . . . . . . . . . . . . . . . . 12
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13 Adjustments decreasing federal AGI . . . . . . . . . . . . . . . . . . 13
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14 Nebraska tax table income (line 11 plus line 12 minus
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line 13). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15 Nebraska income tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
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16 Nebraska minimum or other tax . . . . . . . . . . . . . . . . . . . . . 16
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17 Total Nebraska income tax (line 15 plus line 16). . . . . . . . . 17
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NEBRASKA DEPARTMENT OF REVENUE USE ONLY:
Int. Type
Int. Calc. Date
Para. Code
COMPLETE REVERSE SIDE
Visit our Web site: , or call 1-800-742-7474 (toll free in NE and IA) or 1-402-471-5729.
8-629-2007
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