Nebraska 1040N Form
The Nebraska 1040N form is an essential document for individuals and families navigating their state income tax obligations. Designed for the taxable year, this form requires taxpayers to provide key personal information, including names, Social Security numbers, and current mailing addresses. It offers various filing statuses, from single to married filing jointly, allowing residents to select the category that best reflects their situation. Additionally, the 1040N accommodates different residency statuses—residents, partial-year residents, and nonresidents—ensuring that everyone can accurately report their income. Taxpayers must detail their exemptions, income, and deductions, which can significantly affect their overall tax liability. The form also includes provisions for various credits, such as those for dependents or tax paid to another state, which can further reduce the amount owed. Completing the 1040N accurately is crucial, as it directly impacts the taxpayer's financial responsibilities and potential refunds. With clear instructions and specific lines for different types of income and deductions, the Nebraska 1040N form aims to streamline the tax filing process while ensuring compliance with state regulations.
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FORM 1040N
for the taxable year January 1, 2021 through December 31, 2021 or other taxable year:
, 2021 through |
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Please Type or Print
Your First Name and Initial |
Last Name |
If a Joint Return, Spouse’s First Name and Initial |
Last Name |
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Current Mailing Address (Number and Street or PO Box) |
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City |
State |
Zip Code
Please Do Not Write In This Space
Your Social Security Number
Spouse’s Social Security Number
High School District Code
At any time during 2021, did you receive, sell, exchange, or otherwise dispose of any financial interest in any virtual currency?
Yes
No
(1)
Farmer/Rancher (2)
Active Military
(1)
Deceased Taxpayer(s)
(first name & date of death):
1Federal Filing Status:
(1) |
Single |
(3) |
Married, filing separately – Spouse’s SSN: |
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(4) |
Head of Household |
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(2) |
Married, filing jointly |
and Full Name |
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(5) |
Widow(er) with dependent children |
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2a Check if YOU were: |
(1) |
65 or older |
(2) |
Blind |
2b Check here if someone (such as your parent) can claim you or |
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SPOUSE was: |
(3) |
65 or older |
(4) |
Blind |
your spouse as a dependent: (1) You |
(2) Spouse |
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3 Type of Return: |
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(1) |
Resident |
(2) |
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, 2021 to |
, 2021 (attach Schedule III) |
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(3) |
Nonresident (attach Schedule III) |
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4Nebraska personal exemptions. (Enter 1 in each line of 4a or 4b that applies):
a Yourself. If someone can claim you as a dependent, leave blank.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 a ______
b Spouse. Married filing jointly returns, if someone can claim your spouse as a dependent leave blank |
. 4 b ______ |
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c |
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Dependents, if more than three, see instructions |
Dependent's |
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First Name |
Last Name |
Social Security Number |
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Total number of |
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dependents listed . . . |
. 4 c ______ |
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Total Nebraska personal exemptions – add lines 4a, 4b, and 4c |
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4 |
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5 Federal adjusted gross income (AGI) (line 11, Federal Form 1040 or |
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5 |
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00 |
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6Nebraska standard deduction (if you checked any boxes on line 2a or 2b above, see instructions; otherwise, enter $7,100 if single; $14,200 if married, filing jointly or
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qualified widow[er]; $7,100 if married, filing separately; or $10,450 if head of household) . |
6 |
00 |
7 |
Total itemized deductions (line 17, Federal Schedule A – see instructions) |
7 |
00 |
8 |
State and local income taxes (line 5a, Schedule A, Federal Form 1040 or |
8 |
00 |
9 |
Nebraska itemized deductions (line 7 minus line 8) |
9 |
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10Nebraska standard deduction or the Nebraska itemized deductions, whichever is greater
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(the larger of line 6 or line 9) |
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10 |
00 |
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11 |
Nebraska income before adjustments (line 5 minus line 10) |
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11 |
00 |
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12 |
Adjustments increasing federal AGI (line 9, from attached Nebraska Schedule I) . |
12 |
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00 |
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13 |
Adjustments decreasing federal AGI (line 31, from attached Nebraska Schedule I) |
13 |
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00 |
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14Nebraska Taxable Income (enter line 11 plus line 12 minus line 13). If less than
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complete lines 15 and 16. |
00 |
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15 |
Nebraska income tax |
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from line 9, Nebraska Schedule III. Paper filers may use the Nebraska Tax Table. |
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All others must use Tax Calculation Schedule.) |
15 |
00 |
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16 |
Nebraska other tax calculation: |
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aFederal Tax on
bFederal tax on early distributions (lesser of Federal
Form 5329 or line 8, Sch. 2, Federal Form 1040 or
c Total (add lines 16a and 16b) |
16 c $___________ |
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Residents multiply line 16c by 29.6% (x .296) and enter the result on line 16. |
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Nebraska Schedule III |
. . . . . . . . . . . . . . . . 16 |
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17Total Nebraska tax before Nebraska personal exemption credit (add lines 15 and 16).
Do not pay the amount on this line. Pay the amount from line 43 |
. . . . . . . . 17 |
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Complete Reverse Side |
18 |
Nebr. personal exemption credit for residents only ($142 times the number on line 4) |
18 |
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00 |
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19 |
Credit for tax paid to another state, line 6, Nebraska Schedule II |
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19 |
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00 |
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20 |
. .Credit for the elderly or disabled (attach copy of Federal Schedule R) . . . |
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20 |
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00 |
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. .Community Development Assistance Act credit (attach Form CDN) |
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21 |
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00 |
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. .Form 3800N nonrefundable credit (attach Form 3800N) |
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22 |
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00 |
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Nebraska child/dependent care nonrefundable credit, only if line 5 is more |
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than $29,000 |
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23 |
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00 |
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. .Credit for financial institution tax (attach Form NFC) |
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24 |
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00 |
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. . .Employer’s credit for expenses incurred for TANF (ADC) recipients (see instr.) |
25 |
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00 |
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. .School Readiness Tax Credit for providers (see instructions) |
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26 |
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. .Designated extremely blighted area tax credit (attach Form |
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27 |
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28 |
. .Total nonrefundable credits (add lines 18 through 27) |
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29Nebraska tax after nonrefundable credits. Subtract line 28 from line 17 (if line 28 is more than line 17, enter
federal tax, check box and |
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30Total Nebraska income tax withheld (attach 2021 Forms, see instructions)
a |
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c |
30 |
00 |
312021 estimated income tax payments (include any 2020 overpayment credited to
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2021 and any payments submitted with an extension request) |
. . . 31 |
00 |
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Form 3800N refundable credit (attach Form 3800N) |
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32 |
. . . 32 |
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33 |
Nebraska child/dependent care refundable credit, if line 5 is $29,000 or less |
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(attach a copy of Form 2441N) . . |
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. . . 33 |
00 |
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Beginning Farmer credit from Form 1099 BFC (NDA NextGen) |
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34 |
. . . 34 |
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35 |
Nebraska earned income credit. Enter number of qualifying children 97 |
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Federal credit 98 $ |
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x .10 (10%) |
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35 |
00 |
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36 |
Nebraska Property Tax Incentive Act Credit |
. . . 36 |
00 |
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Credit for qualified Volunteer Emergency Responders (see instructions) |
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37 |
. . . 37 |
00 |
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School Readiness Tax Credit for qualified staff members (see instructions) |
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38 |
. . . 38 |
00 |
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39 |
. . . . . . . . . . . . . . . . . . . . . . .Total refundable credits (add lines 30 through 38) |
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39 |
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40Penalty for underpayment of estimated tax (see instructions). If you calculated a Form 2210N penalty of
or greater, or used the annualized income method, attach Form 2210N, and check this box 96 
. . . . . . . . 40
41 Total tax and penalty. Add lines 29 and 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
42Use tax due on taxable purchases where applicable sales tax was not collected. (see instructions) Enter purchases subject to state tax 91 $__________ State tax 92 $___________ (purchases x 5.5%); Enter purchases subject to local tax 93 $__________ Local tax 94 $_______ (purchases x local rate of ____%) 95 Local code__ __ __(see local rate schedule);
Add state and local taxes and enter on line 42. If no use tax is due, enter |
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43Total amount due. If line 39 is less than total of lines 41 and 42, subtract line 39 from the total of lines 41
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and 42. Pay this amount in full. For electronic or credit card payment, check here |
and see instructions . . |
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44 |
Overpayment. If line 39 is more than total of lines 41 and 42, subtract total of lines 41 and 42 from line 39. |
. . 44 |
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45 |
Amount of line 44 you want applied to your 2022 estimated tax |
45 |
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46 |
Wildlife Conservation Fund donation of $1 or more |
46 |
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47Amount of line 44 you want refunded to you (line 44 minus lines 45 and 46) Your
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(see instructions) |
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48a |
Routing Number |
48b Type of Account |
1 = Checking 2 = Savings |
48c |
Account Number |
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48d |
Check this box if this refund will go to a bank account outside the United States. |
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00
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Under penalties of perjury, I declare that, as taxpayer or preparer, I have examined this return and to the best of my knowledge and belief, it is true, correct, and complete.
sign
here |
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Your Signature |
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Date |
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Email Address |
Keep a copy of this return for your records.
Spouse’s Signature (if filing jointly, both must sign) |
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Daytime Phone |
paid preparer’s
use only
Preparer’s Signature |
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Date |
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Preparer’s PTIN |
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Print Firm’s Name (or yours if |
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EIN |
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Daytime Phone |
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Mail returns requesting a refund to: Nebraska Department of Revenue, PO Box 98912, Lincoln, NE
File Information
| Fact Name | Details |
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| Form Purpose | The Nebraska 1040N form is used for filing individual income tax returns for residents, partial-year residents, and nonresidents. |
| Tax Year | This form is applicable for the taxable year from January 1, 2020, to December 31, 2020. |
| Filing Status Options | Taxpayers can select from various filing statuses, including Single, Married Filing Jointly, and Head of Household. |
| Personal Exemptions | Taxpayers can claim personal exemptions for themselves, their spouse, and dependents listed on the form. |
| Standard Deduction | The standard deduction varies based on filing status: $7,000 for single filers and $14,000 for married couples filing jointly. |
| Itemized Deductions | Taxpayers may choose to itemize deductions instead of taking the standard deduction, depending on their situation. |
| Tax Calculation | Tax is calculated based on the Nebraska taxable income, which is determined after adjustments and deductions. |
| Credits Available | Various nonrefundable and refundable credits are available, including credits for child care and for taxes paid to other states. |
| Governing Law | The Nebraska 1040N form is governed by the Nebraska Revised Statutes, specifically sections related to individual income taxation. |
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