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Nebraska Extension                                                                                   FORM
                                                of Statute of Limitations Agreement                                                                        872N
Name                                                                                                       Your Social Security Number        Spouse’s Social Security Number


Street or Other Mailing Address                                                                            Nebraska Identification Number


City                                                            State                      Zip Code        Federal Identification Number


Effective Date                             Date Agreement Extended to
                                                                                           Original Extension                      Continuation of Previous Extension
Tax Categories
                                                                          Income Tax Withholding
       Sales Tax                                                                                                        Other
                                        Corporate Income Tax
                                                                          Waste Reduction and Recycling Fee
       Use Tax                                                                                                          Other
                                        Individual Income Tax
       Litter Fee                       Lodging Tax

                      The Nebraska Department of Revenue and the taxpayer agree that a notice of deficiency determination for the amount of Nebraska
                 and local tax determined under existing or prior revenue laws for the tax categories listed above may be mailed at any time on or before
                 the above date agreement extended to, and such notice shall include those tax periods that could have been included had a notice of
                 deficiency determination been issued on the effective date of this agreement.

 sign
 here            Authorized Signature                                                                  Title                                             Date


                 Spouse’s Signature (If Joint Return)                                                                                                    Date


                                                        FOR NEBRASKA DEPARTMENT OF REVENUE USE ONLY

 sign
 here            Department of Revenue Authorized Signature                                            Title                                             Date
                                                                          INSTRUCTIONS
                                                                                         APPEAL RIGHTS. Form 872N does not relinquish any appeal rights to
WHEN AND WHERE TO FILE. A Nebraska Extension of Statute of
                                                                                         which the taxpayer would otherwise be entitled.
Limitations Agreement, Form 872N, must be completed when the taxpayer and
the Nebraska Department of Revenue agree to extend the period of limitation              NAME AND ADDRESS. An individual must enter his or her name, as
for the mailing of a notice of deficiency determination of Nebraska tax or the            entered on the tax return covered by this agreement, and current address. The
filing of a claim for overpayment of tax. Generally, the Financial Institution            spouse’s name must also be entered if this agreement is for Nebraska individual
Tax program is not eligible for an extension of the statute limitations.                 income tax and a joint return was filed for any of the taxable periods being
An extension signed on behalf of a flow-through entity will also extend the               extended.
time allowed for a deficiency determination against the entity’s partners,                An organization must enter the organization’s name and business address.
shareholders, or members with respect to the entity income received by the
                                                                                         EFFECTIVE DATE. Enter the date on which the agreement will become
partner, shareholder, or member.
                                                                                         effective. This agreement becomes effective on this date or at the time both
LIMITATION PERIODS. See the table below for a summary of the various
                                                                                         the taxpayer and the department have signed this agreement, whichever date is
limitation periods.
                                                                                         later. The limitation period for mailing a notice of deficiency determination or
For income tax, the limitation periods are longer if the taxpayer:
                                                                                         for filing a claim for overpayment of tax will be extended for all taxable periods
      1. Omits more than 25 percent of Nebraska taxable income,
                                                                                         for which a notice could have been mailed on the date this agreement becomes
      2. Has federal income tax increased by the Internal Revenue Service,
                                                                                         effective. The agreement does not affect the due date for filing a return.
      3. Has a state income tax return modified by the revenue department
                                                                                         DATE AGREEMENT EXTENDED TO. Enter the date to which the statute
           of another state, or
                                                                                         of limitations is being extended.
      4. Fails to file an amended return.
                                                                                         SIGNATURE. This agreement must be signed by the taxpayer, owner(s),
An agreement between the taxpayer and the Internal Revenue Service,
                                                                                         partner, member, or corporate officer. The spouse must also sign if this
providing for the extension of the period for assessment of federal income
                                                                                         agreement is for Nebraska individual income tax and a joint return was filed
tax, also extends the period for mailing a notice of deficiency determination
                                                                                         for any of the taxable periods being extended. If the taxpayer authorizes another
of Nebraska income tax. Copies of such agreements must be filed with the
                                                                                         person to sign this agreement, there must be a power of attorney on file with
Nebraska Department of Revenue within 30 days from the date the Internal
                                                                                         the Nebraska Department of Revenue.
Revenue Service approves the extension.
                               LIMITATION PERIODS FOR ASSESSMENT OF NEBRASKA TAX IN THE ABSENCE OF AGREEMENT
                                                          LIMITATION PERIODS FOR VARIOUS TAX CATEGORIES
                                         Sales, Use, and Lodging Tax,
 FILING STATUS                                                                                                                            Income Tax Withholding
                                                                                                   Income Tax
                                                  Litter Fee
                                Three years from the last day of the calendar           Three years from the due date              Three years from March 15, of
 Return Timely Filed             month following the period of the deficiency                    of the return                          the next calendar year
                                                                                                                                       Three years from filing
                                        Three years from the filing date                 Three years from the filing date            date of the return or period for
 Return Filed Late                              of the return                                   of the return                           “Return Timely Filed”
                                                                                                                                          whichever is later.
                                 Five years from the last day of the calendar
 No Return Filed                 month following the period of the deficiency                  No limitation period                          No limitation period
         Mail this agreement to: NEBRASKA DEPARTMENT OF REVENUE, P.O. BOX 94818, LINCOLN, NE 68509-4818
                                                                                                                                                          8-209-1972 Rev. 11-2007
                                            PLEASE MAKE A COPY OF THIS AGREEMENT FOR YOUR RECORDS.                                             Supersedes 8-209-1972 Rev. 1-2007

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revenue.ne.gov tax current f_872n

  • 1. Nebraska Extension FORM of Statute of Limitations Agreement 872N Name Your Social Security Number Spouse’s Social Security Number Street or Other Mailing Address Nebraska Identification Number City State Zip Code Federal Identification Number Effective Date Date Agreement Extended to Original Extension Continuation of Previous Extension Tax Categories Income Tax Withholding Sales Tax Other Corporate Income Tax Waste Reduction and Recycling Fee Use Tax Other Individual Income Tax Litter Fee Lodging Tax The Nebraska Department of Revenue and the taxpayer agree that a notice of deficiency determination for the amount of Nebraska and local tax determined under existing or prior revenue laws for the tax categories listed above may be mailed at any time on or before the above date agreement extended to, and such notice shall include those tax periods that could have been included had a notice of deficiency determination been issued on the effective date of this agreement. sign here Authorized Signature Title Date Spouse’s Signature (If Joint Return) Date FOR NEBRASKA DEPARTMENT OF REVENUE USE ONLY sign here Department of Revenue Authorized Signature Title Date INSTRUCTIONS APPEAL RIGHTS. Form 872N does not relinquish any appeal rights to WHEN AND WHERE TO FILE. A Nebraska Extension of Statute of which the taxpayer would otherwise be entitled. Limitations Agreement, Form 872N, must be completed when the taxpayer and the Nebraska Department of Revenue agree to extend the period of limitation NAME AND ADDRESS. An individual must enter his or her name, as for the mailing of a notice of deficiency determination of Nebraska tax or the entered on the tax return covered by this agreement, and current address. The filing of a claim for overpayment of tax. Generally, the Financial Institution spouse’s name must also be entered if this agreement is for Nebraska individual Tax program is not eligible for an extension of the statute limitations. income tax and a joint return was filed for any of the taxable periods being An extension signed on behalf of a flow-through entity will also extend the extended. time allowed for a deficiency determination against the entity’s partners, An organization must enter the organization’s name and business address. shareholders, or members with respect to the entity income received by the EFFECTIVE DATE. Enter the date on which the agreement will become partner, shareholder, or member. effective. This agreement becomes effective on this date or at the time both LIMITATION PERIODS. See the table below for a summary of the various the taxpayer and the department have signed this agreement, whichever date is limitation periods. later. The limitation period for mailing a notice of deficiency determination or For income tax, the limitation periods are longer if the taxpayer: for filing a claim for overpayment of tax will be extended for all taxable periods 1. Omits more than 25 percent of Nebraska taxable income, for which a notice could have been mailed on the date this agreement becomes 2. Has federal income tax increased by the Internal Revenue Service, effective. The agreement does not affect the due date for filing a return. 3. Has a state income tax return modified by the revenue department DATE AGREEMENT EXTENDED TO. Enter the date to which the statute of another state, or of limitations is being extended. 4. Fails to file an amended return. SIGNATURE. This agreement must be signed by the taxpayer, owner(s), An agreement between the taxpayer and the Internal Revenue Service, partner, member, or corporate officer. The spouse must also sign if this providing for the extension of the period for assessment of federal income agreement is for Nebraska individual income tax and a joint return was filed tax, also extends the period for mailing a notice of deficiency determination for any of the taxable periods being extended. If the taxpayer authorizes another of Nebraska income tax. Copies of such agreements must be filed with the person to sign this agreement, there must be a power of attorney on file with Nebraska Department of Revenue within 30 days from the date the Internal the Nebraska Department of Revenue. Revenue Service approves the extension. LIMITATION PERIODS FOR ASSESSMENT OF NEBRASKA TAX IN THE ABSENCE OF AGREEMENT LIMITATION PERIODS FOR VARIOUS TAX CATEGORIES Sales, Use, and Lodging Tax, FILING STATUS Income Tax Withholding Income Tax Litter Fee Three years from the last day of the calendar Three years from the due date Three years from March 15, of Return Timely Filed month following the period of the deficiency of the return the next calendar year Three years from filing Three years from the filing date Three years from the filing date date of the return or period for Return Filed Late of the return of the return “Return Timely Filed” whichever is later. Five years from the last day of the calendar No Return Filed month following the period of the deficiency No limitation period No limitation period Mail this agreement to: NEBRASKA DEPARTMENT OF REVENUE, P.O. BOX 94818, LINCOLN, NE 68509-4818 8-209-1972 Rev. 11-2007 PLEASE MAKE A COPY OF THIS AGREEMENT FOR YOUR RECORDS. Supersedes 8-209-1972 Rev. 1-2007