This document is a Nebraska Individual Income Tax Form 8453N for tax year 2008. It provides instructions for taxpayers who e-filed their Nebraska state tax return but need to submit additional forms or documentation to substantiate claims or credits. The form lists various attachments taxpayers may need to include, such as Form 1099-MISC, Form 14N, or Form 1310N. It also provides mailing instructions to submit the form and attachments to the Nebraska Department of Revenue once the e-filed return has been accepted.

1. NEBRASKA INDIVIDUAL INCOME TAX FORM 8453N
TRANSMITTAL FOR E-FILED RETURNS
for Tax Year Beginning January 1 and Ending December 31, 2008
• Read instructions below 2008
PLEASE DO NOT WRITE IN THIS SPACE
IRS Declaration Control Number (DCN)
0 0 – – – 9
First Name(s) and Initial(s) Last Name
Please Type or Print
Home Address (Number and Street or Rural Route and Box Number)
City, Town, or Post Office State Zip Code Social Security Number Spouse’s Social Security Number
Mail Form 8453N and applicable form(s) only when the e-filed Nebraska Individual Income Tax Return
requires any of the forms shown below to substantiate a claim/credit. The forms cannot be transmitted
electronically.
Check the applicable box(es) to identify attachments.
S
Form 1099-MISC (only if Nebraska withholding is shown) T
Form 14N Statement of Nebraska Income Tax Withheld For Nonresidents (Do not send Forms W-2) A
Form 1310N Nebraska Refund for Deceased Taxpayers T
If filing as personal representative, attach proof of appointment. E
If filing as claimant, attach proof of death.
Form CDN Nebraska Community Development Assistance Act Credit Computation O
Form 1099NTC F
Form 3800N Nebraska Employment and Investment Credit Computation
Statement for Nebraska Charitable Endowment Credit
N
E
Statement of Nebraska Financial Institution Tax Credit
B
Certificate for Beginning Farmer Credit
R
Form 4797N Special Capital Gains Election and Computation A
NOTE: This form is no longer used for tax return signature purposes. The submission of a federal self-select personal identification S
number (PIN) with a taxpayer’s federal income tax return electronically filed federal income tax return serves as the Nebraska
signature on the Nebraska electronically filed return. K
You must retain the state copies of Forms W-2, W-2G, 1099-MISC and 1099R and all other related state documentation for a period
of 3 years from the due date.
A
The 8453N should be mailed with attachments as soon as the Nebraska Acknowledgement has been received indicating the state
return has been accepted.
Mail this form and attachments to: NEBRASKA DEPARTMENT OF REVENUE, P.O. BOX 98911, LINCOLN, NE 68509-8911
You may also fax this form along with its attachments to (402) 471-5927
www.revenue.ne.gov, (800) 742-7474 (toll free in NE and IA), (402) 471-5729
8-523-2008