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Nebraska Fiduciary Income Tax Return                                                            FORM 1041N
                                                                                                                       for the taxable year January 1, 2008 through

                                                                                                                                                                                                               2008
                                                                                                                         December 31, 2008 or other taxable year
                                                                                                       beginning                              , 2008 and ending                               , 20
                                                                                                                    FOR OFFICE USE ONLY PLEASE DO NOT WRITE IN THIS SPACE




                       Name of Estate or Trust
Please Type or Print




                       Name and Title of Fiduciary


                       Street or Other Mailing Address of Fiduciary                                                                            Nebraska Identification Number               Federal Identification Number
                                                                                                                                               23 —
                       City                                                          State                                    Zip Code         Type of Trust (If Grantor Type, See Instructions)            Is this your final return?
                                                                                                                                                    Testamentary          Inter Vivos        Grantor Type       YES          NO
                       Status of Estate or Trust                       Type of Return
                       (1)       Resident         (2)   Nonresident         Estate               Simple Trust               Complex Trust                   ESBT                 Bankruptcy Estate                Amended Return
                       Does the estate or trust have nonresident individual beneficiaries?                                                     Is the trust a pooled income fund?
                                 YES (Complete Schedule II)                 NO                                                                        YES               NO


                       1                                                                                                                                                                             1
                              Total federal income (Federal Form 1041). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                       2                                                                                                                                                                             2
                              Federal taxable income (Federal Form 1041) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                       3                                                                                                                                                                             3
                              Undistributed income from U.S. government bonds or other U.S. obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                       4                                                                                                                                                                             4
                              Line 2 minus line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                       5      Undistributed income from non-Nebraska state and local bond interest and other Nebraska adjustments
                                                                                                                                                                                                     5
                              increasing federal taxable income (attach a schedule) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                       6                                                                                                                                                                             6
                              Undistributed bonus depreciation subtraction (attach schedule) (see instructions) . . . . . . . . . . . . . . . . . . . . . . .
                       7                                                                                                                                                                             7
                              Line 4 plus line 5 minus line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                       8                                                                                                                                                                             8
                              Nebraska adjustments decreasing federal taxable income (attach a schedule) (see instructions) . . . . . . . . . . . .
                       9                                                                                                                                                                             9
                              Nebraska taxable income (line 7 minus line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                                NONRESIDENT ESTATES AND TRUSTS SHOULD NOT MAKE ENTRIES ON LINES 10 AND 11.
                                     NONRESIDENT ESTATES AND TRUSTS MUST COMPLETE NEBRASKA SCHEDULE I TO DETERMINE THE LINE 12 ENTRY.
                   10 Nebraska income tax (use the tax rate schedule on page 5 of instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
                   11 Nebraska minimum or other tax (Federal Forms 1041, Schedule I and 4972) (see instructions) . . . . . . . . . . . . . 11

                   12                                                                                                                                                                               12
                              Total Nebraska tax (total of lines 10 and 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                              Nebraska income tax withheld for nonresident beneficiaries (total of column G, Schedule II) . . . . . . . . . . . . . . .
                   13                                                                                                                                                                               13
                   14                                                                                                                                                                               14
                              Total Nebraska income tax liability (line 12 plus line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                              Credit for tax paid by resident estate or trust to other states (Schedule III) . . . . . . . 15
                   15
                   16         Nebraska Charitable Endowment Tax Credit (attach statement) (see instructions) . 16
                   17         CDAA credit and Financial Institution Tax credit (see instructions) . . . . . . . . . . . . . . 17
                   18         Form 3800N nonrefundable credit (attach Form 3800N) . . . . . . . . . . . . . . . . . . . . . 18
                   19                                                                                                                                                                               19
                              Total nonrefundable credits (total of lines 15, 16, 17, and 18). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                   20                                                                                                                                                                               20
                              Subtract line 19 from line 14 (if line 19 is greater than line 14, enter zero -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                   21         Form 3800N refundable credit (attach Form 3800N) . . . . . . . . . . . . . . . . . . . . . . . . 21
                   22         Credit for previous payments of tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
                   23         Beginning Farmer credit (attach certificate) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
                   24                                                                                                                        24
                              Other credits (attach Nebraska copy of Federal Forms W-2, 1099-R, or W-2G)

                   25 Total payments (total of lines 21, 22, 23, and 24) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

                   26 TAX DUE if line 20 is greater than line 25 (line 20 minus line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

                   27 Overpayment to be REFUNDED if line 25 is greater than line 20 (line 25 minus line 20). . . . . . . . . . . . . . . . . . . 27
                                             Under penalties of perjury, I declare that as taxpayer or preparer I have examined this return, including accompanying schedules and statements,
                                          and to the best of my knowledge and belief, it is correct and complete.

                       sign               Signature of Fiduciary or Officer Representing Fiduciary              Date                         Signature of Preparer Other Than Fiduciary                         Date
                       here
                                          Title                                                                 Phone Number                 Address                                                            Phone Number

                                          E-Mail Address
                                                             A COPY OF THE FEDERAL RETURN AND SCHEDULES MUST BE ATTACHED TO THIS RETURN
                         Mail this return and payment to: NEBRASKA DEPARTMENT OF REVENUE, P.O. BOX 94818, LINCOLN, NE 68509-4818
                                                                                                                                                                                                              8-424-2008 Rev. 3-2009
NEBRASKA SCHEDULE I — Computation of Nebraska Tax
                                                                                                                                                                                           FORM
                               NEBRASKA SCHEDULE II — Nonresident Beneficiary’s Share of Nebraska Income,
                                                                                                                                                                                       1041N
                                                                                         Deductions, and Credits
                               NEBRASKA SCHEDULE III — Credit for Tax Paid to Another State
Name as Shown on Form 1041N                                                                                                                      Nebraska Identification Number
                                                                                                                                                 23 —

                Nebraska Schedule I — Computation of Nebraska Tax for Nonresident Estate or Trust Only
28                                                                                                                                                                            28
     Nebraska taxable income (line 9, Form 1041N) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29   Nebraska income tax on line 28 amount (see line 10 instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                     29
30   Nebraska minimum or other tax (see line 11 instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                               30
31                                                                                                                                                                            31
     Total Nebraska tax (line 29 plus line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32   Income derived from Nebraska sources, except capital and ordinary gain (loss) (attach schedule)
                                                                                                                                                                              32
     (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33                                                                                                                                                                            33
     Nebraska capital and ordinary gain (loss) (attach schedule) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . .
34   Adjustments, if any, as applied to Nebraska income (see instructions):
                                                                                                                                                                              34
     List:
35                                                                                                                                                                            35
     Nebraska adjusted gross income (line 32 plus or minus lines 33 and 34) (see instructions) . . . . . . . . . . . . . . . .
36   Nebraska share of line 31. Compute below, and enter result on line 12, Form 1041N:
     Calculate the ratio to five decimal places and round to four
                      Line 35                                 =.                                 x                                 =
                                                                                                                                                                              36
     (Line 1 + Line 5) - (Line 3 + Lines 6 and 8)                            (ratio)                      (Line 31)
                         Nebraska Schedule II — Nonresident Beneficiary’s Share of                                        Nebraska Income, Deductions, and Credits
         Note: If simple trust with out-of-state beneficiaries and with only portfolio income, Schedule II need not be completed. Instead check this box.
                                                           NAME AND ADDRESS OF EACH NONRESIDENT BENEFICIARY
                            Name                                                                                                                                                   State     Zip Code
                                                                              Street or Other Mailing Address                                            City


     1

     2

     3

     4
                                                                                                                                              COMPUTATION OF NEBRASKA WITHHOLDING TAX
                                                                                                                        (D)
                      (A)                                         (B)                           (C)                                               (E)
                                                                                                                      Check if                                                                 (G)
           Social Security Number or                      Nebraska Income                     Nebraska                                    Nebraska Income                      (F)
                                                                                                                     Form 12N                                                             Tax Withheld
         Nebraska Identification Number                   (see instructions)                 Deductions                                 Subject to Withholding                Rate
                                                                                                                     Attached                                                          (Attach Form 14N)
                                                                                                                                     (Column B minus Column C)


     1                                                                                                                                                                        6.84%

     2                                                                                                                                                                        6.84%

     3                                                                                                                                                                        6.84%

     4                                                                                                                                                                        6.84%
     5 TOTALS (enter total of column
       G on line 13, Form 1041N)
             Nebraska Schedule III — Credit for Tax Paid to Another State for Resident Estate or Trust Only
A copy of the return filed with another state must be attached. If such return is not attached, credit for tax paid to another state will not be allowed.

1 Nebraska tax (line 12, Form 1041N) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                      1

2 Taxable income from another state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                     2
3 Computed tax credit (divide line 2, Schedule III by line 9, Form 1041N; then multiply by line 1,
  Schedule III) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       3

4 Tax due and paid to another state (attachment required) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                          4
5 Maximum tax credit (line 1, 3, or 4, whichever is least). Enter amount here and on line 15,
                                                                                                                                                                              5
  Form 1041N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

                                            www.revenue.ne.gov, (800) 742-7474 (toll free in NE and IA), (402) 471-5729

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revenue.ne.gov tax current f_1041n

  • 1. Nebraska Fiduciary Income Tax Return FORM 1041N for the taxable year January 1, 2008 through 2008 December 31, 2008 or other taxable year beginning , 2008 and ending , 20 FOR OFFICE USE ONLY PLEASE DO NOT WRITE IN THIS SPACE Name of Estate or Trust Please Type or Print Name and Title of Fiduciary Street or Other Mailing Address of Fiduciary Nebraska Identification Number Federal Identification Number 23 — City State Zip Code Type of Trust (If Grantor Type, See Instructions) Is this your final return? Testamentary Inter Vivos Grantor Type YES NO Status of Estate or Trust Type of Return (1) Resident (2) Nonresident Estate Simple Trust Complex Trust ESBT Bankruptcy Estate Amended Return Does the estate or trust have nonresident individual beneficiaries? Is the trust a pooled income fund? YES (Complete Schedule II) NO YES NO 1 1 Total federal income (Federal Form 1041). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Federal taxable income (Federal Form 1041) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Undistributed income from U.S. government bonds or other U.S. obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4 Line 2 minus line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Undistributed income from non-Nebraska state and local bond interest and other Nebraska adjustments 5 increasing federal taxable income (attach a schedule) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 6 Undistributed bonus depreciation subtraction (attach schedule) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . 7 7 Line 4 plus line 5 minus line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 8 Nebraska adjustments decreasing federal taxable income (attach a schedule) (see instructions) . . . . . . . . . . . . 9 9 Nebraska taxable income (line 7 minus line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NONRESIDENT ESTATES AND TRUSTS SHOULD NOT MAKE ENTRIES ON LINES 10 AND 11. NONRESIDENT ESTATES AND TRUSTS MUST COMPLETE NEBRASKA SCHEDULE I TO DETERMINE THE LINE 12 ENTRY. 10 Nebraska income tax (use the tax rate schedule on page 5 of instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 11 Nebraska minimum or other tax (Federal Forms 1041, Schedule I and 4972) (see instructions) . . . . . . . . . . . . . 11 12 12 Total Nebraska tax (total of lines 10 and 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nebraska income tax withheld for nonresident beneficiaries (total of column G, Schedule II) . . . . . . . . . . . . . . . 13 13 14 14 Total Nebraska income tax liability (line 12 plus line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Credit for tax paid by resident estate or trust to other states (Schedule III) . . . . . . . 15 15 16 Nebraska Charitable Endowment Tax Credit (attach statement) (see instructions) . 16 17 CDAA credit and Financial Institution Tax credit (see instructions) . . . . . . . . . . . . . . 17 18 Form 3800N nonrefundable credit (attach Form 3800N) . . . . . . . . . . . . . . . . . . . . . 18 19 19 Total nonrefundable credits (total of lines 15, 16, 17, and 18). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 20 Subtract line 19 from line 14 (if line 19 is greater than line 14, enter zero -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Form 3800N refundable credit (attach Form 3800N) . . . . . . . . . . . . . . . . . . . . . . . . 21 22 Credit for previous payments of tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 23 Beginning Farmer credit (attach certificate) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 24 24 Other credits (attach Nebraska copy of Federal Forms W-2, 1099-R, or W-2G) 25 Total payments (total of lines 21, 22, 23, and 24) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 26 TAX DUE if line 20 is greater than line 25 (line 20 minus line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 27 Overpayment to be REFUNDED if line 25 is greater than line 20 (line 25 minus line 20). . . . . . . . . . . . . . . . . . . 27 Under penalties of perjury, I declare that as taxpayer or preparer I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is correct and complete. sign Signature of Fiduciary or Officer Representing Fiduciary Date Signature of Preparer Other Than Fiduciary Date here Title Phone Number Address Phone Number E-Mail Address A COPY OF THE FEDERAL RETURN AND SCHEDULES MUST BE ATTACHED TO THIS RETURN Mail this return and payment to: NEBRASKA DEPARTMENT OF REVENUE, P.O. BOX 94818, LINCOLN, NE 68509-4818 8-424-2008 Rev. 3-2009
  • 2. NEBRASKA SCHEDULE I — Computation of Nebraska Tax FORM NEBRASKA SCHEDULE II — Nonresident Beneficiary’s Share of Nebraska Income, 1041N Deductions, and Credits NEBRASKA SCHEDULE III — Credit for Tax Paid to Another State Name as Shown on Form 1041N Nebraska Identification Number 23 — Nebraska Schedule I — Computation of Nebraska Tax for Nonresident Estate or Trust Only 28 28 Nebraska taxable income (line 9, Form 1041N) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Nebraska income tax on line 28 amount (see line 10 instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 30 Nebraska minimum or other tax (see line 11 instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 31 31 Total Nebraska tax (line 29 plus line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Income derived from Nebraska sources, except capital and ordinary gain (loss) (attach schedule) 32 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 33 Nebraska capital and ordinary gain (loss) (attach schedule) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Adjustments, if any, as applied to Nebraska income (see instructions): 34 List: 35 35 Nebraska adjusted gross income (line 32 plus or minus lines 33 and 34) (see instructions) . . . . . . . . . . . . . . . . 36 Nebraska share of line 31. Compute below, and enter result on line 12, Form 1041N: Calculate the ratio to five decimal places and round to four Line 35 =. x = 36 (Line 1 + Line 5) - (Line 3 + Lines 6 and 8) (ratio) (Line 31) Nebraska Schedule II — Nonresident Beneficiary’s Share of Nebraska Income, Deductions, and Credits Note: If simple trust with out-of-state beneficiaries and with only portfolio income, Schedule II need not be completed. Instead check this box. NAME AND ADDRESS OF EACH NONRESIDENT BENEFICIARY Name State Zip Code Street or Other Mailing Address City 1 2 3 4 COMPUTATION OF NEBRASKA WITHHOLDING TAX (D) (A) (B) (C) (E) Check if (G) Social Security Number or Nebraska Income Nebraska Nebraska Income (F) Form 12N Tax Withheld Nebraska Identification Number (see instructions) Deductions Subject to Withholding Rate Attached (Attach Form 14N) (Column B minus Column C) 1 6.84% 2 6.84% 3 6.84% 4 6.84% 5 TOTALS (enter total of column G on line 13, Form 1041N) Nebraska Schedule III — Credit for Tax Paid to Another State for Resident Estate or Trust Only A copy of the return filed with another state must be attached. If such return is not attached, credit for tax paid to another state will not be allowed. 1 Nebraska tax (line 12, Form 1041N) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Taxable income from another state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Computed tax credit (divide line 2, Schedule III by line 9, Form 1041N; then multiply by line 1, Schedule III) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Tax due and paid to another state (attachment required) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Maximum tax credit (line 1, 3, or 4, whichever is least). Enter amount here and on line 15, 5 Form 1041N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . www.revenue.ne.gov, (800) 742-7474 (toll free in NE and IA), (402) 471-5729