Nebraska Child and Dependent Care Expenses Name on Form 1040N Your Social Security Number • File Form 2441N ONLY if your adjusted gross income is $29,000 or less, and you are claiming the Nebraska refundable child and dependent care credit. • Complete the reverse side of this form if you received dependent care benefits. • Attach this form to Form 1040N. 2021 FORM 2441N BEFORE YOU BEGIN – Please see Federal Form 2441 instructions for definitions of the following terms: • Dependent Care Benefits • Qualifying Persons • Qualified Expenses Part I — Persons or Organizations Who Provide the Care • You must complete this part. (Paper filers, please attach a schedule if you need more space.) (A) (B) (C)

Care Address Identifying Number

Provider’s Name (Number, Street, Apt. No., City, State, and Zip Code) (SSN or EIN) Did you receive dependent care benefits? No Complete only Part II below. Yes Complete Part III on the back first, and then complete Part II. 1 Part II — Credit for Child and Dependent Care Expenses

(B) (C) Qualified Expenses You

Qualifying Person’s Incurred and Paid in 2021 for the

Social Security Number Person Listed in Column (A) 2 Information about your qualifying persons. (Paper filers, please attach a schedule if you have more than three qualifying persons.) 3 Add the amounts in Column (C) of line 2. Do not enter more than $8,000 for one qualifying person, or $16,000 for two or more persons. If you completed Part III, enter the amount from line 35. . . . . . 3 4 Enter your earned income (see Federal Form 2441 instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 If married, filing jointly, enter your spouse’s earned income. If your spouse was a student or was disabled, see instructions; all others, enter the amount from line 4. . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 Enter the smallest of line 3, 4, or 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Enter federal AGI from Nebraska Form 1040N, line 5. If the amount is over $29,000, do not file this form, you are not eligible for the refundable child care tax credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 8 Enter .50 for the federal decimal amount. See line 8 instructions for additional information.. . . . . . 8 9 Enter the state decimal amount below that applies to the dollar amount on line 7. If line 7 is: If line 7 is: But State decimal But State decimal Over not over amount is Over not over amount is $0 or less – 22,000 1.00 $25,000 – 26,000 .60 22,000 – 23,000 .90 26,000 – 27,000 .50 23,000 – 24,000 .80 27,000 – 28,000 .40 24,000 – 25,000 .70 28,000 – 29,000 .30 9 10 Multiply line 6 by the decimal amount on line 8 and enter the result. If you paid 2020 expenses in 2021, see instructions on Federal Form 2441................................................................................ 10 11 Multiply line 10 by the decimal amount on line 9. Residents enter result here and on line 33, Form 1040N.. 11 12 Partial-year residents multiply line 11 by the ratio from line 4, Schedule III:______. Enter this result here and on line 33, Form 1040N. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 13 Part III, dependent care benefits, begins on the next page. 8-618-2021 . (D) Amount Paid (See Federal Form 2441 instructions) . (A) Qualifying Person’s Name First Last RESET PRINT

Part III — Dependent Care Benefits Dependent Care Benefits Name as Shown on Form 1040N Your Social Security Number 2021 FORM 2441N 14 Enter the total amount of dependent care benefits you received in 2021. Amounts you received as an employee should be shown in box 10 of your Federal Form W-2, but do not include amounts reported as wages in box 1 of Form W-2. If you were self-employed or a partner in a partnership, include amounts you received under a dependent care assistance program from your sole proprietorship or partnership. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Enter the amount, if any, you carried over from 2020 and used in 2021. See instructions on Federal Form 2441.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Enter the amount forfeited or carried forward to 2022, if any (see instructions) . . . . . . . . . . . . . . . . . . . 16 17 Subtract line 16 from total of line 14 and line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 18 Enter the total amount of qualified expenses incurred in 2021 for the care of the qualifying persons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19 Enter the smaller of line 17 or 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 20 Enter your earned income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 20 21 Enter the amount shown below that applies to you: • If married, filing jointly, enter your spouse’s earned income (if your spouse was a student or was disabled, see instructions); • If married, filing separately, see instructions for the amount to enter; or • All others, enter the amount from line 20. . . . . . . . . . . . . . . . . . . . . . . . . . . 21 22 Enter the smallest of line 19, 20, or 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 23 Enter $10,500 (or enter $5,250 if married, filing separately, and you were required to enter your spouse’s earned income on line 21). If you entered an amount on line 15, add it to the $10,500 or $5,250 amount you enter on this line. However, don't enter more than the maximum amount allowed under your dependent care plan. See instructions on Federal Form 2441.. . . . . . . . . . . . . . 23 24 Enter the amount from line 14 that you received from your sole proprietorship or partnership. If you did not receive any such amounts, enter -0-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 25 Subtract line 24 from line 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 26 Deductible benefits. Enter the smallest of line 22, 23, or 24. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 27 Enter the smaller of line 22 or 23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 28 Enter the amount from line 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 29 Excluded benefits. Subtract line 28 from line 27. If zero or less, enter -0-. . . . . . . . . . . . . . . . . . . . . 29 30 Taxable benefits. Subtract line 29 from line 25. If zero or less, enter -0-. . . . . . . . . . . . . . . . . . . . . . 30 31 Enter $8,000 (or enter $16,000 if two or more qualifying persons). . . . . . . . . . . . . . . . . . . . . . . . . . . 31 32 Add lines 26 and 29 and enter result here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 33 Subtract line 32 from line 31. If zero or less, stop. You cannot take the credit. Exception: If you paid 2020 expenses in 2021, see instructions on Federal Form 2441 . . . . . . . . . 33 34 Complete line 2 on the front of this form. Do not include in Column (C) any benefits shown on line 32 above. Then, add the amounts in Column (C) and enter the total here. . . . . . . . . . . . . . . . . . 34 35 Enter the smaller of line 33 or 34. Also, enter this amount on line 3 on the front of this form and complete lines 4-12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 To claim the child and dependent care credit, complete lines 31-35 below.

Instructions Nebraska generally follows federal definitions. For additional information, see the instructions for Federal Form 2441. Who May File. You may file Form 2441N to take the credit or the exclusion if all five of the following apply.

1. Your filing status is single, head of household, qualifying widow(er) with dependent child, or married, filing jointly. If your filing status is married, filing separately, see “Married Persons, Filing Separately” below.

2. The care was provided so you (and your spouse, if filing jointly) could work or look for work. However, if you did not find a job and have no earned income for the year, you cannot take the credit or the exclusion. If you or your spouse were a full-time student or disabled, see the instructions for lines 4 and 5.

3. The care must be for one or more qualifying persons.

4. The person who provided the care was not your spouse, the parent of your qualifying child, or a person whom you can claim as a dependent. If your child provided the care, he or she must have been age 19 or older by the end of 2021, and he or she cannot be your dependent.

5. You report the required information about the care provider on line 1, and if taking the credit, the information about the qualifying person on line 2.

6. Your federal AGI shown on your 1040N, line 5, is $29,000 or less. Married Persons, Filing Separately. Generally, married persons must file a married, filing jointly return to claim the credit. If your filing status is married, filing separately and all of the following apply, you are considered unmarried for purposes of claiming the credit or exclusion on Form 2441N.

• You lived apart from your spouse during the last 6 months of 2021.

• Your home was the qualifying person's main home for more than half of 2021.

• You paid more than half of the cost of keeping up that home for 2021. If you meet all the requirements to be treated as unmarried and meet items 2 through 5 under “Who May File,” you may take the credit or the exclusion. If you do not meet all the requirements to be treated as unmarried, you cannot take the credit; however, you may take the exclusion if you also meet items 2 through 5 under “Who May File.” Line Instructions Line 1. Complete columns (A) through (D) for each person or organization that provided the care. You can use any of the following sources to get this information:

• Federal Form W-10, Dependent Care Provider's Identification and Certification;

• A copy of the provider’s Social Security card or driver’s license that includes his or her Social Security number (SSN);

• A recently printed letterhead or printed invoice that shows the provider’s name, address, and Taxpayer ID Number (TIN); and

• A copy of the statement provided by your employer if you were covered by your employer’s dependent care plan and your employer furnished the care (either at your workplace or by hiring a care provider). If you do not give correct or complete information, your credit or exclusion will be disallowed. If you have more than three care providers, attach a statement to your return with the required information for each provider. Be sure to put your name and SSN on the statement. Also, enter “See Attached” under line 1(A). Columns (A) and (B). Enter the care provider's name and address. Column (C). If the care provider is an individual, enter his or her SSN. Otherwise, enter the provider's employer ID number (EIN). If the provider is a tax-exempt organization, enter “Tax-Exempt” in column (C). Column (D). Enter the total amount you actually paid to the care provider in 2021 and any amounts your employer paid to a third party on your behalf. It does not matter when the expenses were incurred. Do not reduce this amount by any reimbursement you received. Line 2. Complete columns (A) through (C) for each qualifying person. If you have more than three qualifying persons, attach a statement to your return with the required information. Be sure to put your name and SSN on the statement. In column (C) , enter the qualified expenses you incurred and paid in 2021 for the person listed in column (A). The amount entered in line 2 cannot exceed the amount actually paid to providers in line 1. Prepaid expenses are treated as paid in the year the care is provided. Line 3. Add the amounts in line 2, column (C). Do not enter more than $8,000 for one qualifying person, or $16,000 for two or more qualifying persons. If you completed Part III, enter the amount from line 35. Line 4. Enter your earned income as defined in the instructions for Federal Form 2441. If you are filing a married, filing jointly return, calculate the earned income of you and your spouse separately and enter your spouse’s earned income on line 5. See Note if you were a student or disabled.

Line 5. Enter your spouse’s earned income as defined in the instructions for Federal Form 2441. See Note if your spouse was a student or disabled. Note: If, in the same month, both you and your spouse were either full-time students or disabled, only one of you can be treated as having earned income in that month. If you or your spouse was a full-time student or disabled, calculate that person’s earned income on a monthly basis. For purposes of this calculation:

• A person would be considered a full-time student if he or she was enrolled as a full-time student at a school for some part of each of five calendar months during 2021. The months do not need to be consecutive. A school does not include an on-the-job training course, a correspondence school, or a school offering courses only through the Internet.

• A person would be considered disabled if he or she was not physically or mentally capable of self-care. For each month (or part of a month) that you or your spouse was a full-time student or disabled, that person is considered to have worked and earned income. That person’s earned income for each month is considered to be at least $250 ($500 if more than one qualifying person was cared for in 2021). If you or your spouse also worked during that month, use the higher of $250 (or $500) or that person's actual earned income for that month. For any month that you or your spouse were not a full-time student or disabled, use that person’s actual earned income if that person worked during the month. Line 6. Enter the smallest of lines 3, 4, or 5. Line 7. Enter the amount from line 5, Form 1040N. If the amount is more than $29,000, you are not eligible for the refundable child care tax credit. Do not complete this form, instead, see the nonrefundable tax credit instructions for line 23, Form 1040N, and use Federal Form 2441. Line 8. Enter .50 for the federal decimal amount. For the taxable year 2021, the American Rescue Plan Act of 2021 temporarily increased the federal percentage. In previous years the decimal amounts for $29,000 or less ranged from .28 to .35. Line 9. Enter the state decimal amount shown on the chart below for your line 7 amount:

If line 7 is: If line 7 is:

But not State decimal

But not State decimal

Over over amount is Over over amount is

$0 or less – 22,000 1.00 $25,000 – 26,000 .60

22,000 – 23,000 .90 26,000 – 27,000 .50

23,000 – 24,000 .80 27,000 – 28,000 .40

24,000 – 25,000 .70 28,000 – 29,000 .30 Line 10. Multiply the amount on line 6 by .50 and enter the result. If you had qualified expenses for 2020 that you did not pay until 2021, you may be able to increase the amount of credit you can take in 2021. Use the Worksheet A in Federal Publication 503, Child and Dependent Care Expenses, to determine if you can claim prior year expenses. If you can take a credit for prior year expenses (CPYE), add the additional amount of credit to the calculated line 10 amount, and write “CPYE” on the dotted line next to line 10. Also, attach a copy of the federal worksheet to your return. Taxpayers who e-file and claim a credit for prior year expenses on Form 2441N should include this documentation as a binary attachment. Line 11. Multiply line 10 by the decimal amount on line 9. Nebraska residents enter this result on line 11, Form 2441N, and on line 33, Form 1040N. Line 12. Partial-year residents multiply line 11 by the ratio on line 4, Nebraska Schedule III, Form 1040N. Enter the result here and on line 33, Form 1040N. Line 14. Enter the total amount of dependent care benefits you received in 2021. Amounts you received as an employee are shown in box 10 of your Federal Form W-2. If you were self-employed or a partner in a partnership, include amounts you received under a dependent care assistance program from your sole proprietorship or partnership. Line 15. If you had an employer-provided dependent care plan, your employer may have permitted you to carry forward any unused amount from 2020 to use during a grace period in 2021. Enter on line 15 the amount you carried forward and used in 2021 during the grace period. Line 16. If you had an employer-provided dependent care plan, enter the total of the following amounts included on line 14:

• Any amount you forfeited (if you did not receive it because you did not incur the expense). Do not include amounts you expect to receive at a future date; and

• Any amount you did not receive but are permitted by your employer to carry forward and use in the following year during a grace period.

Example. Under your employer’s dependent care plan, you chose to have your employer set aside $5,000 to cover your 2021 dependent care expenses. The $5,000 is shown on your Form W-2, in box 10. In 2021, you incurred and were reimbursed for $4,950 of qualified expenses. Enter $5,000 on line 14, and $50, the amount forfeited, on line 16. Also, enter $50 on line 16 if, instead of forfeiting the amount, your employer permitted you to carry the $50 forward to use during the grace period in 2022. Line 18. Enter the total of all qualified expenses incurred in 2021 for the care of your qualifying persons. It does not matter when the expenses were paid. Example. You received $2,000 in cash under your employer’s dependent care plan for this tax year. The $2,000 is shown on your Form W-2 in box 10. Only $900 of qualified expenses were incurred in this tax year for the care of your 5-year-old dependent child. Enter $2,000 on line 14 and $900 on line 18. Line 20. Enter your earned income as defined in the federal instructions for Federal Form 2441. If you are filing a married, filing jointly return, calculate the earned income of you and your spouse separately and enter your spouse’s earned income on line 5. See Note if you were a student or disabled. Line 21. Enter your spouse’s earned income as defined in the federal instructions for Federal Form 2441. See Note if your spouse was a student or disabled. Note: If, in the same month, both you and your spouse were either full-time students or disabled, only one of you can be treated as having earned income in that month. If you or your spouse was a full-time student or disabled, calculate that person’s earned income on a monthly basis. For purposes of this calculation:

• A person would be considered a full-time student if he or she was enrolled as a full-time student at a school for some part of each of five calendar months during 2021. The months do not need to be consecutive. A school does not include an on-the-job training course, a correspondence school, or a school offering courses only through the Internet.

• A person would be considered disabled if he or she was not physically or mentally capable of self-care.

8-307-2021 2021 Nebraska Individual Income Tax Booklet E-file your return. It is the fast, secure, and easy way to file! NebFile offers FREE e-filing of your state return. All taxpayers can use the Fed/State program to e-file federal and Nebraska tax returns. File online by purchasing software from a retailer, or with an authorized tax return preparer. When electronically submitting the return, use the electronic payment option to schedule a payment to pay the balance due or make estimated income tax payments. Or use Nebraska Department of Revenue’s (DOR’s) e-pay system to schedule payments after e-filing the return. For more information or to use any of the Nebraska Department of Revenue electronic services, go to revenue.nebraska.gov More info . . .

revenue.nebraska.gov Virtual currency. New question on the Nebraska return regarding transactions involving virtual currency. If, in 2021, you engaged in any transaction involving virtual currency, check the “Yes” box next to the question on virtual currency on page 1 of Form 1040N directly below the social security number fields. Virtual currency transactions are taxable by law just like transactions in any other property. Nebraska Property Tax Incentive Act, LB 1107 (2020). This Act provides a refundable income tax credit to any taxpayer that paid Nebraska school district property taxes. To claim the credit taxpayers must complete and submit a Nebraska Property Tax Incentive Act Credit Computation, Form PTC. LB 181 (2021) – Operative May 6, 2021. Four new provisions were added to this Act: u The LB 1107 requirement that the school district property taxes paid by an S corporation, partnership, LLC, or fiduciary must be passed through to its owners to be claimed is now discretionary and limited to tax year 2020. u Beginning with tax year 2021, the school district property taxes paid by these pass‑through entities must be claimed by the entity and cannot be passed through to its owners. u For tax year 2021, pass-through entities that did not claim or distribute the school district property taxes paid in 2020 are allowed a 2021 credit for the amount paid in 2020 multiplied by 6%. u For fiscal year and short year taxpayers, the credit must be claimed for the school district property taxes paid during the immediately preceding calendar year. Changes to the Taxation of Social Security Benefits, LB 64 (2021). LB 64 changed the taxation of benefits received by taxpayers under the federal Social Security Act. For taxable years beginning on or after January 1, 2021, federal adjusted gross income (AGI) is reduced by a percentage of the social security benefits that are received and included in federal AGI. For tax year 2021, the percentage reduction is 5%. Taxpayers can claim either the percentage reduction enacted by LB 64 or the previously existing exemption for low-income recipients, whichever is greater. For tax year 2021, married filing jointly taxpayers with federal AGI of $59,960 or less and taxpayers filing any other return with federal AGI of $44,460 or less may continue to reduce federal AGI by 100% of the social security benefits included in federal AGI. The income thresholds are indexed for inflation each year. Nebraska College Savings Plan change, LB 432 (2021). Operative for taxable years beginning on or after January 1, 2021, LB 432 amends the definition of “qualified higher education expenses” in the Nebraska College Savings Plan to include costs incurred on or after January 1, 2021 for apprenticeship programs registered and certified with the U.S. Secretary of Labor under 29 U.S.C. 50, as such section existed on January 1, 2021. Provide an income tax exemption for Segal AmeriCorps Education Awards, LB 477 (2020). LB 477 reduces a taxpayer’s federal AGI by amounts received from a Segal AmeriCorps Education Award to the extent included in federal AGI, for tax years beginning on or after January 1, 2021. Change Provisions Regarding Employer Contributions to the Nebraska Educational Savings Plan Trust, LB 1042 (2020). LB 1042 provides a deduction to an individual’s federal AGI equal to the amount of any contribution made by the individual’s employer into the employee’s Nebraska educational savings plan trust (NEST) account, to the extent included in federal AGI. The deduction is limited to $5,000 for married filing separate returns and $10,000 for any other return. The deduction is available for tax years beginning on or after January 1, 2021.

Identity theft is a persistent, evolving threat. The Nebraska Department of Revenue (DOR) utilizes fraud detection and verification processes to reduce refund fraud designed to protect all taxpayers filing Nebraska returns. These steps may increase the amount of time needed to process income tax returns and issue tax refunds. DOR is committed to processing the tax returns efficiently while safeguarding taxpayer information. Please allow a minimum of 30 days to receive your refund if you e-file an error- free return. For paper returns, please allow a minimum of three months to receive your refund if you file an error-free return. Your refund will generally be issued by July 15, if your return is filed by the April 15th due date. See our website for additional identity theft information. Complete Your Federal Return. Your federal return must be completed before starting your Nebraska return. This information is needed to complete your Nebraska return. 2 Important Information For All Nebraska Filers What’s New?

revenue.nebraska.gov

Complete Only the Lines on Nebraska Individual Income Tax Return, Form 1040N, That Apply to You. If a line does not apply to your filing, leave the line blank except line 5 cannot be left blank.

Enter All Amounts as Whole Dollars. Do not include cents on the return or schedules. Do not change the pre-printed zeros in the cents column of the Form 1040N. Round any amount from 50 cents to 99 cents to the next higher dollar. Round any amount less than 50 cents to the next lower dollar.

Federal Forms W-2, W-2G, 1099-R, 1099-MISC, and 1099-NEC. A form should be received from your employer or payor by February 15 or by March 1 if furnished by a broker. If you have not received the form by the required date, you should immediately contact your employer or payor. Please verify that all information on these forms is correct, including the Social Security number. If the information on these forms is incorrect, obtain a corrected form from your employer or payor. A corrected form should be clearly marked “Corrected by Employer/Payor.” If a wage and tax statement is lost or destroyed, request a substitute copy clearly marked “Reissued by Employer.”

Balance Due. Any balance due must be paid in full with your return. All taxpayers are encouraged to make their tax payments electronically. There are many electronic payment methods available. Several software products offer the option of an electronic funds withdrawal (EFW) allowing you to schedule your payment when you file your return. Other options include DOR’s e-pay system and paying by credit card. Electronic payment is fast, secure, and easy. See DOR’s website for additional information about all available electronic payment options.

Use Tax. Use tax is due on all taxable purchases when Nebraska and any applicable local sales tax is not paid to the retailer. This often occurs when making purchases over the Internet or from out-of- state retailers. Check your receipts for online purchases to see if tax was collected by the retailers. See the instructions for line 42, Form 1040N if the appropriate Nebraska and local sales taxes were not collected by a retailer on any of the purchases.

Due Date. Your income tax return is due on the 15th day of the 4th month after the close of the tax year (April 15th for calendar-year filers). If the due date falls on a Saturday, Sunday, or legal holiday, you must file your return by the first business day after the 15th day of the fourth month.

Penalty and Interest. Either or both may be imposed under the following circumstances:

1. Failing to file a return and pay the tax due on or before the due date;

2. Failing to pay the tax due on or before the due date;

3. Failing to file an amended Nebraska income tax return when required;

4. Preparing or filing a fraudulent income tax return; or

5. Understating income on an income tax return.

The interest rate for any unpaid tax is 3%, and is calculated from the original due date of the return, even if an extension of time to file is granted.

A Nebraska Extension of Time. DOR accepts the federal extension of time to file. It is only necessary to file a Nebraska extension of time if you are making a tentative tax payment or when a federal extension is not filed. An extension of time to file does not stop interest from accruing on unpaid tax. A six-month extension to file Form 1040N may only be obtained by:

1. Attaching a copy of a timely-filed Application for Automatic Extension of Time to File U.S. Individual Income Tax Return, Federal Form 4868, to the Nebraska return when filed;

2. Attaching a schedule to your Nebraska return listing your federal confirmation number and providing an explanation that you received a federal extension;

3. Filing a Nebraska Application for Extension of Time, Form 4868N, on or before the due date of the return, when you need to make a tentative Nebraska payment or when a federal extension is not being requested; or

4. Attaching a copy of the statement or letter submitted with your federal return requesting the automatic extension of time to file for a U.S. citizen residing outside the U.S. or Puerto Rico, to the Nebraska return when filed.

If you have an authorized IRS tax preparer e-file your return, Nebraska will grant you an automatic extension to file. If you e-file your own return using software you have purchased or accessed from the Internet, you will be required to mail in a Nebraska Form 4868N. See above for further instructions.

Note: If you have a combat zone-related or contingency operation-related extension, see DOR’s website for Nebraska Income Tax for U.S. Servicemembers, Their Spouses, and Civilians Working with U.S. Forces Information Guide.

If the extension documentation is not attached, a late filing penalty may be imposed. Any tax not paid by April 15 is subject to interest. An extension of time cannot exceed a total of six months after the original due date of the return. 3 More info . . . More info . . .

revenue.nebraska.gov

Estimating Your 2022 Income Tax. The 2022 Nebraska Individual Estimated Income Tax Payment Vouchers booklet is available on DOR’s website or you can contact DOR. You are encouraged to make estimated income tax payments using DOR’s e-pay system or using the EFW option when e-filing your 2021 Nebraska return. The EFW option is offered by many software products.

Estimated Income Tax Payments and Penalty for Underpayment of Estimated Income Tax. You may owe a penalty if your estimated income tax payments did not total at least:

u 90% of the tax shown on your 2021 Nebraska return;

u 100% of the tax shown on your 2020 return; or

u 110% of the tax shown on your 2020 return if AGI on the return was more than $150,000; or, if your filing status is married, filing separately, more than $75,000.

See the Individual Underpayment of Estimated Tax, Form 2210N, instructions.

An individual who did not pay enough estimated income tax by any of the applicable due dates (April 15, June 15, September 15, and January 15), or who did not have enough state income tax withheld, will be assessed a penalty. This may be true even if you are due a refund. The underpayment penalty is calculated separately for each installment due date (four equal and timely payments). You may owe a penalty for an earlier payment that was due, even if you paid enough estimated income tax later to make up the underpayment.

Active Duty Military Servicemembers. Your active duty military pay is taxed only by the state where you are a legal resident. Your place of legal residence at the time of entry into the service is presumed to be your state of legal residence or domicile. Your state of legal residence stays the same until it is established in another state. Moving to a new location for a limited period of time, including a permanent change of station, does not change your legal residence. Nebraska income tax is imposed on the total federal adjusted gross income (AGI) of a Nebraska resident who is a member of the uniformed services, regardless of where the income is received.

Check the box “Active Military” on Form 1040N if you or your spouse were active military servicemembers at any time during the tax year (including National Guard or Reserve personnel called to active duty). Taxpayers receiving combat pay have the same extended due date for filing a Nebraska return as for the federal return.

Military pay received by a nonresident servicemember stationed in Nebraska is not subject to Nebraska income tax. Other income derived from Nebraska sources by a servicemember, such as income earned from a separate job not connected with the servicemember’s military service, is subject to Nebraska income tax. See special instructions for line 20, Nebraska Schedule I.

The federal Servicemembers Civil Relief Act provides that Nebraska cannot tax the income of a nonresident servicemember’s spouse when the spouse has the same state of residence as the servicemember and is in Nebraska only in support of the servicemember. A Nebraska resident servicemember’s spouse, who is also a Nebraska resident and who works and resides in another state, is required to file a Nebraska income tax return. More information is available in the instructions for line 20, Nebraska Schedule I, and line 1, Nebraska Schedule III, or on DOR’s website.

Foreign Income. Income earned by a Nebraska resident while living in another country is taxable by Nebraska when the taxpayer maintains Nebraska residency.

Deceased Taxpayer. A tax return must be filed and any liability must be paid if the deceased otherwise met the filing requirements. A deceased taxpayer’s spouse, personal representative, or other person may file and sign a return for a taxpayer who died before filing a 2021 return. A personal representative is an executor, administrator, or anyone else who is in charge of the deceased taxpayer’s property. Additional documentation will be required when claiming a refund on behalf of a deceased taxpayer, unless the deceased is your spouse with whom you are filing as married, filing jointly for this tax year.

“DECEASED” must be written across the top of a paper return and the taxpayer’s name and the date of death must be shown in the space provided. See additional instructions for deceased taxpayers in the “How to Complete your Form 1040N” section on page 5.

Fiscal Year Returns. The taxable year used for Nebraska must be the same as the taxable year used for federal income tax purposes. For fiscal years beginning after January 1, 2021, the 2021 Nebraska Tax Calculation Schedule or Tax Table, must be used without adjustment.

Due Date for Fiscal Year Returns. The due date for a fiscal year return is the 15th day of the fourth month following the end of the taxable year.

Refer to instructions for line 30, Form 1040N, for additional information on a fiscal year taxpayer claiming the income tax withholding credit.

Taxpayers filing fiscal year returns may not e-file their Nebraska return. See DOR’s website for: Nebraska Income Tax for U.S. Servicemembers, Their Spouses, and Civilians Working with U.S. Forces Information Guide. 4 More info . . . More info . . . More info . . .

revenue.nebraska.gov Definitions How to Complete your Form 1040N Name and Address. When filing a paper return, enter or clearly print your name and correct mailing address information in the spaces provided. Include your spouse’s name if filing a joint return. Social Security Numbers. You must enter your Social Security number (SSN) or Individual Tax Identification Number (ITIN) on the form in the boxes indicated. Include your spouse’s SSN or ITIN if filing a joint return. The Privacy Act of 1974 provides that when DOR asks you for your Social Security number (SSN), you must first be told of DOR’s legal right to ask for this information, why DOR is asking for it, and how it will be used. DOR must also tell you what would happen if it is not received and whether your response is voluntary, required to obtain a benefit, or mandatory under the law. The legal right to ask for the information is Neb. Rev. Stat. § 77-27,119. This law says that you must include your SSN on your return. Your response is mandatory under this section. The SSN is needed to properly identify you and process your return and other documents. Public High School District Data. All residents and partial-year residents domiciled in Nebraska on December 31, 2021, must enter the high school district code where you are domiciled (permanent residence). This information is also required if you reside outside Nebraska but are still domiciled in Nebraska. Nonresidents or partial-year residents not residing in Nebraska on December 31, 2021, do not enter a high school district code. This information is required by law to assist the Nebraska Department of Education in determining the state aid for Nebraska’s K-12 public school systems. 5 Domicile. Domicile is the place an individual has his or her permanent home. Even if the individual is absent at times, domicile is the place where the individual intends to return. Actual residence is not necessarily domicile. An individual establishes domicile in Nebraska on the date he or she arrives in the state for other than temporary or transitory purposes. Once domicile is established, it remains the individual’s domicile until it is abandoned. Domicile in Nebraska is abandoned when an individual leaves the state, abandons the Nebraska domicile with no intention of maintaining his or her true, fixed, and permanent home in Nebraska; and establishes a domicile in another state while present in the other state for other than temporary or transitory purposes. Partial-Year Resident. A partial-year resident is an individual who is a resident for part of the year, but less than the entire year. To be a partial-year resident, a taxpayer must change domicile during the year, either moving into or out of Nebraska. Permanent Place of Abode. A permanent place of abode is a dwelling place permanently maintained by the taxpayer, whether or not it is owned by the taxpayer. A dwelling means a house, apartment, room, or other accommodation including those used for vacation purposes, suitable for human occupation. It does not include a vacation camp, cottage, or dwelling place occupied only temporarily. Resident. A resident is an individual whose domicile is in Nebraska, or an individual who is physically present in this state and maintains a permanent place of abode within this state for an aggregate of more than six months. Nebraska residency will be determined by Nebraska law. If an individual maintains a permanent place of abode in Nebraska and is present in Nebraska for at least 183 days during the tax year, that individual is a Nebraska resident even if domiciled in another state. For this purpose, Nebraska considers any part of a day spent in Nebraska as a day spent in the state. For additional information, refer to the Determining Residency Status for Nebraska Individual Income Tax Filing Information Guide on DOR’s website. Who Must File? A Nebraska resident who:

u Is required to file a federal individual income tax return reporting a federal tax liability before credits; or

u Has $5,000 or more of net Nebraska adjustments to federal AGI including non-Nebraska state and local bond interest exempt from federal tax (see Nebraska Schedule I instructions).

A partial-year resident or a nonresident who:

u Has income derived from or connected with Nebraska sources.

revenue.nebraska.gov Farmer/Rancher. Farmers or ranchers deriving at least two-thirds of their yearly gross income for the current or previous tax year from farming or ranching must check the box “Farmer/Rancher” below the SSN block. A farmer or rancher who files the 2021 Form 1040N and pays the Nebraska income tax due on or before March 1, 2022, is not required to make estimated income tax payments during 2021; otherwise, the entire amount of estimated income tax must be paid by January 15, 2022. If you file or pay after March 1, 2022, you may be assessed a penalty for failure to properly pay estimated income tax. An extension of time cannot be used to extend the March 1 filing date.

Active Military. Check the box “Active Military” below the SSN block only if you or your spouse were on active military duty status at any time during 2021. This includes National Guard/Reservists called to active duty during 2021.

Deceased. If the taxpayer or spouse is deceased, enter the first name of the deceased person and the date of death in the space provided.

u A Surviving Spouse filing for a deceased taxpayer’s refund must:

Write “surviving spouse” in the signature block if you are filing a paper Form 1040N for the deceased. No further documentation is required.

u When a court-appointed personal representative files an original or amended return on behalf of a deceased person, he or she must attach a copy of one of the following with the completed and signed Form 1040N or 1040XN:

• The court order showing proof of appointment (Letters of Appointment); or

• A copy of the probated will.

u Other persons requesting a deceased taxpayer’s refund should complete a Statement of Person Claiming a Refund Due to a Deceased Person, Form 1310N, and attach one the following:

• Death certificate (need not be certified); or

• Formal notification from the appropriate government office (for example, Department of Defense, Department of Health and Human Services, or Department of State) informing the next of kin of the deceased person’s death. Line 1 Federal Filing Status. Your Nebraska filing status is the same as your federal filing status.

There is an exception for married, filing jointly taxpayers where one spouse is a Nebraska resident and the other spouse is a nonresident or partial-year resident of Nebraska. These taxpayers may elect to file either a married, filing jointly return (both spouses are taxed as residents) or married, filing separately returns with Nebraska.

If you file a married, filing separately return for Nebraska, it must be calculated as if a married, filing separately federal return had been filed. The married, filing separately income, deductions, and exemptions must be used. The spouse’s ssn and name must be entered on the married, filing separately line.

Nonresident military servicemembers should review line 20, Nebraska Schedule I instructions. Line 2a Check the appropriate boxes if, during 2021:

Box 1. You were 65 or older (taxpayers born before January 2, 1957);

Box 2. You were blind;

Box 3. Your spouse was 65 or older (taxpayers born before January 2, 1957); or

Box 4. Your spouse was blind. Line 2b Check the appropriate boxes if someone, such as a parent, can claim you or your spouse as a dependent on their return. Line 3 Type of Return. Check the appropriate box if, during 2021:

Box 1. You were a resident;

Box 2. You were a partial-year resident; or

Box 3. You were a nonresident.

Partial-year residents must also complete dates of residency. Nonresidents and partial-year residents must complete and attach Form 1040N, Schedule III, even if all income is earned in Nebraska. If one spouse is a full-year resident and the other is a nonresident or partial-year resident, and they elect to file a married, filing jointly return, a resident return must be filed and Schedule III cannot be used. For additional information, refer to the Determining Residency Status for Nebraska Individual Income Tax Filing Information Guide on DOR’s website. Line 4a Enter 1 in line 4a for yourself. You cannot enter a 1 in line 4a if you are claimed by another taxpayer for child tax credit or dependent tax credit purposes. The box should be left blank if a 1 is not entered. 6

revenue.nebraska.gov Line 4b If your status is married, filing jointly enter 1 in line 4b for your spouse. You cannot enter a 1 in line 4b if your spouse is claimed by another taxpayer for child tax credit or dependent tax credit purposes. The box should be left blank if a 1 is not entered. Line 4c Enter the dependents’ names and social security numbers listed in columns 1 and 2 of the Federal Form 1040 or 1040-SR that qualify for the child tax credit or dependent tax credit. If you have more than three dependents, attach a listing for the remaining dependents using the same format as line 4c. Line 4 Total Nebraska Personal Exemptions. Add lines 4a, 4b, and 4c and enter the result on line 4.

If you filed a married, filing jointly federal return and elect to file married, filing separately for Nebraska because one spouse is a resident of Nebraska and the other is not, a federal return must be computed for each taxpayer as if married, filing separately federal returns had been filed. The taxpayer claiming the child tax credit or dependent credit on the reworked federal return must have earned more than half of the income used to support the family. For example, if a couple has three children, a taxpayer earning one-third of the income cannot claim any of the family's three children. Support payments are presumed to go to all children equally. The recalculated federal return information is used to determine the Nebraska personal exemptions that can be claimed on each married, filing separately Nebraska return. Line 5 Federal Adjusted Gross Income (AGI). This is the amount reported on your federal return as AGI. Enter the amount from Federal Form 1040 or 1040-SR, page 1, line 11. Do not leave line 5 blank on the Nebraska individual income tax return.

Special Circumstances.

If you were not required to file a federal return, but must file a Nebraska return to report state and local bond interest of $5,000 or more, you must enter all income that would have been included in federal AGI. This includes both earned income (such as wages), retirement income (such as 401K distributions, pensions, etc.), and investment income (such as dividends, bank interest, etc.).

Nonresidents and partial-year residents must include your total federal AGI on line 5, Form 1040N, not just your Nebraska source income. When completing Nebraska Schedule III, you will report Nebraska income and apportion your tax liability based on a calculated ratio of Nebraska income to total income. Line 6 Nebraska Standard Deduction. Enter your Nebraska standard deduction. If you use the standard deduction on the federal return, you must use the Nebraska standard deduction on the Nebraska return. All taxpayers that claimed itemized deductions on their federal return are allowed the larger of the Nebraska standard deduction or federal itemized deductions, minus state and local income taxes claimed on Federal Schedule A.

If you or your spouse cannot be claimed for the child tax credit or dependent tax credit, enter the appropriate Nebraska standard deduction from the following chart. Do not enter the amount of your federal itemized deductions.

If you or your spouse can be claimed by another taxpayer for child tax credit or dependent tax credit purposes, your standard deduction is the smaller of the federal standard deduction allowed on line 12a of the Federal Form 1040 or 1040-SR, or the Nebraska standard deduction from the following chart.

Nebraska Standard Deduction Chart

See instructions above if you or your spouse can be claimed by another taxpayer for child or dependent tax credit purposes.

Number of Boxes Standard

Filing Status Checked on Line 2a Deduction

Single 0 $7,100

1 $8,750

2 $10,400

Married, Filing Jointly 0 $14,200

or Qualifying Widow(er) 1 $15,550

With Dependent Children 2 $16,900

3 $18,250

4 $19,600

Married, Filing Separately 0 $7,100

1 $8,450

2 $9,800

3 $11,150

4 $12,500 If married, filing separately, the additional amounts for spouse 65 and over and blind apply only if the primary taxpayer can claim a personal exemption for his or her spouse.

Head of Household 0 $10,450

1 $12,100

2 $13,750 7

revenue.nebraska.gov Line 7 Total Itemized Deductions. If you itemized deductions on your federal return, enter the amount from line 17 of Schedule A, Federal Form 1040 or 1040-SR. If you did not itemize deductions on your federal return, skip lines 7 through 9 and enter the line 6 amount on line 10. Line 8 State and Local Income Taxes. If you itemized deductions on your federal return, you must enter the amount of state and local income taxes reported on Federal Schedule A, line 5a even if the total amount of state and local taxes was limited to $10,000 ($5,000 married, filing separately) on Federal Schedule A, line 5e. If you entered general sales taxes on Federal Schedule A, line 5a, do not enter an amount on line 8. Line 9 Nebraska Itemized Deductions. Line 7 minus line 8. Line 10 Nebraska Deductions. Enter line 6 or line 9, whichever is greater. Line 11 Nebraska Income Before Adjustments. Line 5 minus line 10. Line 12 Adjustments Increasing Federal AGI. Enter amount from line 9 of Nebraska Schedule I.

See Schedule I instructions for additional information. Line 13 Adjustments Decreasing Federal AGI. Enter the amount from line 31 of Nebraska Schedule I. See Schedule I instructions for additional information. Line 14 Nebraska Taxable Income. If you do not have adjustments to federal AGI, enter the line 11 amount on line 14. If you have adjustments, line 14 equals line 11 plus line 12 minus line 13. Line 15 Nebraska Income Tax. Nonresidents and partial-year residents, enter the amount from line 9, Nebraska Schedule III. Paper filers may use the Nebraska Tax Table. Electronic filers must use the Nebraska Tax Calculation Schedule. Line 16 Nebraska Other Tax. You are required to calculate Nebraska other tax if you were required to pay:

u Federal tax on lump-sum distributions of qualified retirement plans; and/or

u Federal tax on early distributions of qualified retirement plans. The Nebraska other tax is 29.6% of the federal other tax on the items shown above. Residents use the calculation from line 16 of Form 1040N to calculate the amount of total other taxes. Partial-year residents and nonresidents use line 10, Nebraska Schedule III to calculate the amount of other tax due. The other tax is 29.6% of the federal other tax multiplied by the ratio from line 4, Nebraska Schedule III. Line 17 Total Nebraska Tax. Enter the total of lines 15 and 16. Line 18 Nebraska Personal Exemption Credit for Residents Only. Residents may claim a $142 credit for each Nebraska personal exemption reported on line 4, Form 1040N. Nonresidents and partial-year residents will claim this credit on line 7, Nebraska Schedule III. Line 19 Credit for Tax Paid to Another State. Enter the amount from line 6, Nebraska Schedule II. Attach a complete copy of the other state’s return, including schedules. (For instructions on what lines to use from the other state’s return, refer to the Conversion Chart on DOR’s website).

A separate Schedule II must be completed for each state. Nebraska law does not allow credit for taxes paid to a foreign country or its political subdivisions. Dual state residents must refer to the Conversion Chart instructions to properly calculate tax paid to another state. Line 20 Credit for the Elderly or the Disabled. Residents enter the amount of Credit for the Elderly or the Disabled included in line 6d of Schedule 3, Federal Form 1040 or 1040-SR. If the federal credit has been limited by your federal tax liability, use the lesser amount. Attach Federal Schedule R. Partial- year residents use line 6b, Schedule III, to report Credit for the Elderly or Disabled. Nonresidents may not claim this credit. Line 21 Community Development Assistance Act (CDAA) Credit. Enter the credit allowable for contributions to approved projects of community betterment organizations recognized by the Nebraska Department of Economic Development (NDED). Nebraska Community Development Assistance Act Credit Computation, Form CDN, must be attached to the Form 1040N. 8 More info . . . More info . . .

revenue.nebraska.gov Line 22 Form 3800N Nonrefundable Credit. Enter the amount from line 15, Nebraska Incentives Credit Computation, Form 3800N. Attach Form 3800N. Required supporting documentation may be submitted as an attached PDF document when e-filing your return if your software supports these types of attachments. If the supporting documentation is not received with the return, DOR may request the required documentation during the processing of your return. Your income tax refund may be delayed if the business entity that distributed the Form 3800N credit to you has not filed its entity income tax return. Line 23 Nebraska Child/Dependent Care Nonrefundable Credit. Resident taxpayers with AGI greater than $29,000 can claim this credit (if AGI is $29,000 or less, see line 33 instructions). Multiply the amount on line 2 or 13g (whichever is applicable) of Schedule 3, Federal Form 1040 or 1040-SR, by 25% (.25). Partial-year residents use line 6c, Schedule III, to claim this credit, if applicable. Nonresidents may not claim this credit. Include a copy of Federal Form 2441. If Federal Form 2441 is not received, the credit will be disallowed. Taxpayers who are filing married, filing jointly federally, but filing married, filing separately on their Nebraska return cannot claim this Nebraska credit. Line 24 Credit for Financial Institution Tax. Enter the amount of the tax credit available to you from the 2021 Statement of Nebraska Financial Institution Tax Credit, Form NFC, supplied by the financial institution in which you are a shareholder. Line 25 Employer's Credit for Expenses Incurred for TANF (ADC) Recipients. An employer may claim an income tax credit equal to 20% of the employer's qualified expenses for eligible employees. An eligible employee is defined as a parent or caretaker relative who is a member of a unit that received benefits under the state or federally funded TANF program for any nine months of the eighteen-month period immediately prior to the employee's hiring date, and whose hiring date is on or after the first day of the tax year for which the credit is claimed. Qualified expenses are tuition at Nebraska public institutions for postsecondary education; the costs of a high school equivalency program; and the cost for transportation of eligible employees to and from work. Enter the total credit from line 2, Nebraska Form TANF. Line 26 School Readiness Tax Credit for Providers. An income tax credit is available to an individual or may be distributed to an individual who is a shareholder, partner, beneficiary or member of an S corporation, partnership, fiduciary or limited liability company that owns or operates an eligible childcare or education program that serves children who participate in the childcare subsidy program established in Neb. Rev. Stat. § 68-1202. The School Readiness Tax Credit Act – Application for Childcare and Education Provider for this tax credit must be filed within two months after the close of the tax year that the credit will be claimed or distributed. If you are claiming a tax credit distribution from a partnership, LLC, S corporation and fiduciary, the entity must complete page 2 on the application to distribute the tax credit. An S corporation, partnership, fiduciary, and LLC must provide its owners and beneficiaries with the owner's or beneficiary's share of the credit. The credit may only be claimed after the application has been approved in writing by DOR. For additional information, see the application and DOR’s website. Line 27 Designated Extremely Blighted Area Tax Credit. An individual may claim a $5,000 tax credit in the year the individual purchased a residence upon meeting all the following requirements:

u Residence is located in a designated extremely blighted area

u Residence is the buyer's primary residence.

u Buyer did not purchase the residence from a family member or spouse’s family member.

Complete and attach the Form 1040N-EB. The buyer may carryforward any unused credit to subsequent years until the credit is used. The credit allowed is subject to recapture if the individual claiming the credit sells or transfers the residence or no longer uses the residence as a primary residence within five years after the end of the taxable year the credit was claimed. If you have a recapture event, see the Form 1040XN instructions. Line 28 Total Nonrefundable Credits. Add lines 18 through 27. Line 29 Nebraska Tax After Nonrefundable Credits. Do not complete the worksheet below if the result of line 12 minus line 13 is $5,000 or more. Otherwise, if your federal tax liability is -0- or is less than your Nebraska tax, complete the Federal Tax Liability Worksheet below. On line 29, enter the smaller of the amounts from line 2 or line 3 of the worksheet. If entering federal tax liability, attach a copy of your federal return. 9 More info . . .

revenue.nebraska.gov Federal Tax Liability Worksheet 1. Nebraska Adjustments to AGI

a. Amount of adjustments increasing federal AGI

(line 12, Form 1040N). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a. _________________

b. Amount of adjustments decreasing federal AGI

(line 13, Form 1040N). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b. _________________

Net adjustments to federal AGI (line 1a minus line 1b). . . . . . . 1. _________________

If the amount on line 1 is $5,000 or more Stop. Line 29 of Form 1040N

must be the mathematical result of line 17 minus line 28. 2. Nebraska Tax after Nonrefundable Credits

a. Nebraska tax, line 17 of Form 1040N. . . . . . . . . . . . . . . . . . . . . . 2a. $_ _______________

b. Total Nonrefundable Credits, line 28 of Form 1040N. . . . . . . . . . . 2b. ________________

Line 2a minus line 2b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. ________________

If the amount on line 2 is zero or less, enter -0- on line 29 of Form 1040N;

and Stop here. Do not complete the remainder of the Worksheet. 3. Federal tax before credits:

a. Line 16 of Form 1040 or 1040-SR, page 2. . . . . . . . . . . . . . . . . . 3a. ________________

b. Line 1 of Form 1040 or 1040-SR, Schedule 2. . . . . . . . . . . . . . . . 3b. ________________

c. Line 8 of Form 1040 or 1040-SR, Schedule 2. . . . . . . . . . . . . . . . 3c. ________________

d. Total tax–Form 1040 or 1040-SR (add lines 3a, 3b, and 3c) . . . . 3d _ _______________

Total federal tax (enter tax from line 3d). . . . . . . . . . . . . . . . . . . . 3. ________________ On line 29, enter the smaller of the amounts from line 2 or line 3 of this worksheet, and check the federal tax box if line 3 is used. You MUST attach all Forms W-2, W-2G, 1099-R, 1099‑MISC, 1099-NEC, and Schedules K-1N. 10 Line 30

Nebraska Income Tax Withheld. Use line 30a to enter the total Nebraska income tax withholding from Federal Forms W-2. Use line 30b to enter the total Nebraska income tax withholding, if any, from Nebraska Forms K-1N. Use line 30c to enter the total Nebraska income tax withholding, if any, from Federal Forms W-2G, 1099-R, 1099-MISC, 1099-NEC or other forms. Enter the total income tax withholding shown on lines 30a, 30b, and 30c on line 30. While many taxpayers will have Nebraska income tax withholding on Form W-2, most taxpayers will not have Nebraska income tax withholding on other forms. Do not use state wages. Your income tax withholding credit will not be allowed if you do not attach the proper forms to a paper filed return or if the form shows income tax withholding from a state other than Nebraska. Nonresidents claiming credit for Nebraska income tax withholding reported by a partnership, limited liability company, S corporation, estate, or trust must attach a copy of the appropriate Schedule K-1N. The tax year ending date on the Schedule K-1N must be the same as the tax year of the individual’s return being filed. Required supporting documentation may be submitted as an attached PDF document when e-filing your return, if your software supports these types of attachments. If the supporting documentation is not received with the return, DOR may request the required documentation during the processing of your return. This may result in a delayed, reduced, or disallowed refund. A fiscal year taxpayer who receives Forms W-2 issued on a calendar-year basis must attach any 2021 Forms W-2 to the 2021 Form 1040N for a fiscal year beginning in 2021. If you receive any 2022 Forms W-2 before filing your 2021 Form 1040N, save them to attach to the 2022 Form 1040N. Line 31 2021 Estimated Tax Payments. Report your 2021 estimated income tax payments and any tax year 2020 carryover on this line. If you file a married, filing jointly return, the name and SSN of the spouse whose SSN was used to make the 2021 estimated income tax payments should be listed first in the name and SSN area on the Form 1040N.

You are encouraged to make your estimated income tax payments using DOR’s e-pay system, or the EFW option when e-filing your 2021 Nebraska return, which allows you to schedule all four of your estimated income tax payments at one time. A Form 1040N-ES payment voucher should NOT be mailed in when you pay electronically. Line 32 Form 3800N Refundable Credit. Enter any refundable credit calculated and shown on line 20, Form 3800N. Attach Form 3800N. Required supporting documentation may be submitted as an attached PDF document when e-filing your return, if your software supports these types of attachments. If the supporting documentation is not received with the return, DOR may request the required documentation during the processing of your return. This may result in a delayed refund. Your income tax refund may also be delayed if the business entity that distributed the Form 3800N credit to you has not yet filed its entity income tax return. Attach Form 3800N

revenue.nebraska.gov 11 Line 33 Nebraska Child/Dependent Care Refundable Credit (AGI $29,000 or Less and Full-Year or Partial-Year Resident). Attach the Nebraska Child And Dependent Care Expenses, Form 2441N, to your Nebraska return. Taxpayers who file married, filing jointly federally, but file married, filing separately on their Nebraska return cannot claim this Nebraska credit. If Form 2441N is not received, the credit will be disallowed. Note: The Federal Form 2441 will not be accepted when claiming the Nebraska child/dependent care refundable credit. Nebraska Form 2441N must be completed and attached. Line 34 Beginning Farmer Credit (NDA NextGen). Enter the credit granted to eligible claimants who receive a Statement of Nebraska Tax Credit, Form 1099 BFC, from the Nebraska Department of Agriculture (NDA). For further information, contact NextGen, which administers the Beginning Farmer Tax Credit Act through the NDA at 402-471-4876, nextgen.nebraska.gov. Line 35 Nebraska Earned Income Credit. Paper filers must attach a copy of pages 1 and 2 of Federal Form 1040 or 1040-SR to your Nebraska return. Nebraska residents and partial-year residents who have a federal earned income credit are allowed a state credit equal to 10% of the federal credit. Complete the federal credit information from line 27a (Form 1040 or 1040-SR, page 2). Enter the number of qualifying children using information from Federal Schedule EIC (Form 1040 or 1040-SR). If you are a nonresident, you cannot claim this credit. If you file a Nebraska married, filing separately return, your ability to claim this credit depends on whether you are allowed the federal EIC credit on your federal married, filing separately return

Partial-year residents enter amount calculated on line 12, Nebraska Schedule III. Nebraska Earned Income Worksheet for Taxpayers Claiming a Net Operating Loss Deduction (NOL) Complete this worksheet only if you are claiming an NOL carryforward on Federal Form 1040 or 1040-SR.

1. Earned Income. Enter the amount from the line 27a,

Form 1040 or 1040-SR instructions, Step 5, line 8. . . . . 1. $_____________

2. Federal Net Operating Loss (NOL) Carryforward,

from line 8a, Schedule 1, Federal Form 1040 or

1040-SR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $_____________

3. Earned income plus Federal NOL Carryforward.

Line 1 plus line 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. $_____________

If line 3 is less than:

$51,464 ($57,414 if married, filing jointly) for three or more qualifying children;

$47,915 ($53,865 if married, filing jointly) for two qualifying children;

$42,158 ($48,108 if married, filing jointly) for one qualifying child; or $21,430 ($27,380 if married, filing jointly) for no qualifying children, calculate the Nebraska earned income credit on line 35, Form 1040N using the amount from line 27a, Federal Form 1040 or 1040-SR. If line 3 equals or exceeds the respective amounts, you do not qualify for the Nebraska earned income credit and line 35, Form 1040N should be -0-. Line 36 Nebraska Property Tax Incentive Act Credit. Enter the credit calculated on line 3 of the Form PTC. The completed Form PTC is required to be filed with the return when claiming the credit. Line 37 Credit for Qualified Volunteer Emergency Responders. A $250 income tax credit is available to each qualified volunteer who has been certified by the volunteer department's certification administrator and this certification has been sent to DOR by February 15 of the year following qualification. DOR must have received certification of the qualified volunteer for at least two years to claim the tax credit. A qualified volunteer is an emergency responder, rescue squad member, or volunteer firefighter who has accumulated at least 50 points during each year of service. For additional information see DOR’s website. Line 38 School Readiness Tax Credit for Qualified Staff Members. An income tax credit is available to an individual who is employed with, or who is a self-employed individual providing child care and early childhood education for an eligible program for at least six months during the taxable year and who is assigned a classification level in the Nebraska Early Childhood Professional Record System. An application for this tax credit may be filed any time after the individual has met all the required eligibility criteria. DOR will process the applications in the order received until the program tax credit limitation of $5 million has been reached.

The credit may only be claimed after your application has been approved in writing by the Nebraska Department of Revenue. For additional information, see DOR’s website.

revenue.nebraska.gov 12 Line 40 Penalty for Underpayment of Estimated Tax. Use Nebraska Individual Underpayment of Estimated Tax, Form 2210N, to determine if you owe this penalty. Also, see page 3 of these instructions. If you are required to calculate a Form 2210N penalty, report it on line 40, check the box, and attach Form 2210N to your return. Do not include any late filing penalty on this line. Line 41 Total Tax and Penalty. Add lines 29 and 40. Line 42 Use Tax. Use tax is due on all taxable purchases when Nebraska and any applicable local sales tax is not paid. You may owe use tax if you have not paid the Nebraska sales tax or any applicable local sales tax on purchases delivered into Nebraska from out-of-state, mail order, or Internet sellers. Nebraska law requires that if sales tax is not collected by the seller on any taxable sale, the purchaser must remit the applicable use tax directly to the state.

Enter your total taxable 2021 purchases if Nebraska sales tax was not collected by the seller. Multiply this amount by 5.5% (.055). If local tax applies, enter your local code from the local sales and use tax codes and rates schedule on page 35 of these instructions, and multiply your total taxable purchases by the local rate (.005, .010, .015, .0175, or .02). Add the state and local tax amounts together and enter on line 42. You can also report only local tax not paid if your vendor charged you the state tax but not the local tax. Example. You purchase a computer from a seller in South Dakota over the Internet for $1,470 plus $30 shipping and handling charges. Both charges are taxable. The computer is shipped to you in Scottsbluff, Nebraska and no tax is charged or collected by the seller. Your state tax is $83 ($1,500 X 5.5% = $83) and the local tax is $23 ($1,500 X 1.5% = $23). The total use tax owed is $106 ($83 + $23 = $106). When calculating state and local tax, round your results, and then add them together to arrive at your line 42 entry. Round any amount from 50 cents to 99 cents to the next higher dollar. Round any amount less than 50 cents to the next lower dollar. Special Instructions for Gage County. Gage County imposes a sales and use tax in addition to both the state and local city tax imposed by cities of Beatrice, Clatonia, Cortland, Odell, and Wymore. If only the Gage County sales and use tax has not been collected, enter 934 for the local code with a tax rate of 0.5%. For taxpayers using the local code for Beatrice (039), Clatonia (103), Cortland (116), Odell (362), or Wymore (534), include the Gage County rate of 0.5% in the local tax calculation reported. For example, if the local code of 039 is entered then 2.5% is entered for the local rate, and used for the calculation of the local tax (the Beatrice local rate of 2.0% plus the Gage County rate of 0.5% equals 2.5%). Note: If you owe use tax to more than one Nebraska local jurisdiction, do not report use tax here. Instead, report state and local use taxes by filing the Nebraska Individual Use Tax Return, Form 3. Line 43 Total Amount Due. Enter the amount owed, including the applicable underpayment of estimated income tax penalty. A balance due of less than $2 need not be paid. Electronic Funds Withdrawal (EFW). With this payment option, you provide your payment information within your electronically-filed return. Your payment will automatically be withdrawn from your bank account on the date you specify. Cancel a payment. To cancel a scheduled EFW payment, contact our Taxpayer Assistance office at 800-742-7474 (NE and IA) or 402-471-5729 before 4:00 pm Central Time at least two business days prior to your scheduled payment date. You may cancel a payment scheduled through Nebraska e-pay by logging into the e-pay program from our website and selecting “cancel payment.” To cancel a credit card payment, contact ACI Payments, Inc. Nebraska e-pay. Nebraska e-pay is DOR’s web-based electronic payment system for single payments. You enter your payment and bank account information, and choose a date to have your account debited. You will receive an email confirmation for each payment scheduled. Credit Card. Secure credit card payments can be initiated through ACI Payments, Inc. at acipayonline.com; or via phone at 800-272-9829. A convenience fee (2.35% of the payment, $1 minimum) is charged to the card you use. This fee is paid to the credit card vendor, not the state, and will appear on your credit card statement separately from the payment to DOR. At the end of your transaction, you will be given a confirmation number. Keep this number for your records. If you are making your credit card payment by phone, you will need to provide the Nebraska Jurisdiction Code, which is 3700. More info . . . More info . . .

revenue.nebraska.gov Line 43 (cont.) Check or Money Order. If you are not using one of the electronic payment options described above, include a check or money order payable to the “Nebraska Department of Revenue.” Checks written to DOR may be presented for payment electronically.

Payment Plan. If you are unable to pay the full amount of tax due, you should file your Nebraska income tax return and pay as much as you can by the filing date. You will receive a balance due notice in the mail. When that is received you can go online to set up a payment plan for the remaining balance, subject to applicable fees. Interest on unpaid tax will accrue.

Please see our website at revenue.nebraska.gov/individuals/request-individual-tax-payment-plan. Line 44 Overpayment. If line 39 is more than the total of lines 41 and 42, subtract this total from line 39 and enter your overpayment. Line 45 2022 Estimated Tax. Enter the amount of overpayment from line 44 you want applied to your 2022 estimated income tax. Line 46 Wildlife Conservation Fund. You may contribute $1 or more of your refund to this fund. Your contributions are used by the Nebraska Game and Parks Commission to protect and manage Nebraska’s nongame and at-risk birds, mammals, amphibians, fish, reptiles, plants, and invertebrates. The fund will help prevent species from becoming endangered by managing, restoring, and protecting their habitat. If you are not entitled to a refund, you may still send your tax-deductible contribution directly to the Wildlife Conservation Fund at outdoornebraska.gov/wildlifeconservationfund. For more information, contact the Nebraska Game and Parks Commission, Wildlife Division, PO Box 30370, 2200 North 33rd Street, Lincoln, NE 68503-0370, call 402-471‑0641, or visit outdoornebraska.gov. Line 47 Amount You Want Refunded to You. Enter the amount of overpayment to be refunded after subtracting lines 45 and 46 from line 44. Amounts less than $2 will not be refunded. If a taxpayer has any existing tax liabilities owed to DOR, the federal government, or other state agencies, any overpayment shown on this return may be applied to satisfy that liability. You will receive a letter explaining any amounts retained. You can check the status of your refund at revenue.nebraska.gov/individuals/refund-information or calling DOR's refund line 800-742-7474 (NE and IA) or 402-471-5729. Line 48 Direct Deposit Your Refund. To have your refund directly deposited into your checking or savings account, enter the routing number and account number found on the bottom of the checks used with the account. The routing number is listed first and must be nine digits. The account number is listed to the right of the routing number and can be up to 17 digits. Also complete line 48b, Type of Account. Incorrect banking information will cause your refund to be issued as a paper warrant. Always double check that you entered the correct banking information, since this cannot be changed by DOR. Box 48d is used to comply with banking rules regarding International ACH Transactions (IATs). The box must be checked whenever a refund will go to a bank account outside the U.S. or if a refund is sent to a bank account inside the territorial jurisdiction of the U.S. and 100% of the original refund is later transferred to a bank outside of the U.S. These refunds cannot be processed as direct deposits and instead will be mailed. Sign and Date Your Tax Return. Include a daytime phone number in case DOR needs to contact you about your account. By entering an email address, the taxpayer acknowledges that DOR may contact the taxpayer by email. The taxpayer accepts any risk to confidentiality associated with this method of communication. DOR will send all confidential information by secure email or the State of Nebraska’s file share system. If you do not wish to be contacted by email, write “Opt Out” on the line labeled “email address.” A married, filing jointly return must be signed by both spouses. If another person signs the return for the taxpayer, a copy of a power of attorney or court order authorizing the person to sign the return must be on file with DOR or attached to the return. An unsigned return delays processing. The act of e-filing a return is your signature. By e-filing the return, taxpayers and their tax preparer, if applicable, are declaring under penalties of perjury, that they have examined the electronic return, and to the best of their knowledge and belief, it is true, correct, and complete. Paid Preparer’s Use Only. Any person who is paid for preparing a taxpayer’s return must sign the return as preparer. Additionally, the preparer must enter his or her Preparer Tax ID Number (PTIN) and Federal Employer ID Number (EIN). See DOR’s website for preparer e-file mandates. sign here 13 More info . . .

revenue.nebraska.gov Line 1 Interest Income from All State and Local Obligations Exempt from Federal Tax. List the type of interest income from a state or local obligation exempt from federal tax on line 1a, Schedule I and the associated amount on line 1b. Then calculate the total by adding all amounts on lines 1b. Attach a schedule, if necessary, listing all the obligations. The total amount on line 1, Schedule I must be equal to the amount reported on line 2a of Federal Form 1040 or 1040-SR. This includes state and local bond (municipal bonds) income from all states. Although this income is exempt from federal tax, it is taxable income in Nebraska. Expenses related to this income that have not been previously deducted can be deducted from line 1 only if you itemized deductions on your federal return. Interest income from a regulated investment company (including certain mutual funds) attributable to state and local obligations must also be included on line 1b. Line 2 Exempt Interest Income from Nebraska Obligations. List the name of the federally tax exempt bond issued by a Nebraska state or local government subdivision on line 2a and the associated amount on line 2b. Then calculate the total by adding all amounts on lines 2b. Attach a schedule, if necessary, listing all the obligations. Income amounts from regulated investment companies attributable to Nebraska source bonds are also included on line 2b. Build America Bonds. Any federally taxable interest received in 2021 on a Build America Bond previously issued by a Nebraska governmental subdivision may be deducted on line 26, Schedule I, Interest From Federally Taxable Build America Bonds Issued by Nebraska Governmental Units. Line 3 Total Taxable Interest Income. Enter the result of line 1 minus line 2. Line 4 Financial Institution Tax Credit Claimed. Shareholders receiving a Statement of Nebraska Financial Institution Tax Credit, Form NFC, must enter the amount of the tax credit available to you as stated on the 2021 Form NFC on both line 24, Form 1040N, and line 4, Schedule I. A copy of Form NFC must be attached to your return. Required supporting documentation may be submitted as an attached PDF document when e-filing your return if your software supports these types of attachments. If the supporting documentation is not received with the return, DOR may request the required documentation during the processing of your return. This may result in a delayed refund. Line 5

Nebraska College Savings Program RECAPTURE. If you cancel your Nebraska College Savings Program account or withdraw funds for a non-qualified purpose, the amounts previously claimed as deductions are subject to recapture. Nebraska considers K-12 tuition a non-qualified use of College Savings Program funds. Qualified withdrawals are restricted to paying qualified expenses at schools for higher education (colleges, universities, technical schools, and graduate programs). A federally qualified rollover to a Section 529 plan issued by a state (or entity) other than Nebraska is considered to be a cancellation subject to recapture. The total maximum recapture is the lesser of (i) amount previously deducted on all Nebraska returns prior to the cancellation of the college savings program account, or (ii) the amount received upon the cancellation or non-qualified withdrawal of funds. Enter the calculated recapture amount on line 5. Line 6 Nebraska Enable Plan RECAPTURE. If you cancel your Enable Savings Plan account or make an unqualified withdrawal, the amounts previously claimed as deductions on the account owner’s return are subject to recapture. Only the account owner is subject to recapture. The maximum recapture is the lesser of (i) the amount previously deducted on all Nebraska returns prior to the cancellation of the Enable Savings Plan account, or (ii) the amount received upon the cancellation or unqualified withdrawals of funds. Enter the calculated recapture amount on line 6. Line 7 Federal Net Operating Loss Deduction. Enter the amount of the federal net operating loss carryforward deduction claimed on your federal return. You must include this loss as an increase to AGI. A previously established Nebraska net operating loss may be deducted on line 23, Nebraska Schedule I. Line 8 S Corporation and Limited Liability Company (LLC) Non-Nebraska Loss. Enter the amount of loss from an S corporation or LLC that is not from Nebraska sources. You must include this loss as an increase to AGI. Line 9 Total Adjustments Increasing Federal AGI. Add lines 3 through 8, enter here and on line 12, Form 1040N. 14 More info . . . Nebraska Schedule I Instructions Part A — Adjustments Increasing Federal AGI

revenue.nebraska.gov Line 10 State Income Tax Refund Deduction. Enter the amount shown on line 1, Schedule 1, of your Federal Form 1040 or 1040-SR. Line 11 U.S. Government Obligations Exempt for State Purposes. Enter the amount of interest or dividend income included in federal AGI from U.S. government obligations exempt from Nebraska tax. List the types of obligations on line 11a and the associated amounts of interest or dividend income received from each on line 11b. Then calculate the total by adding all amounts on lines 11b. Attach a schedule, if necessary, listing all the obligations for which a deduction is claimed. Capital gains from the sale of U.S. obligations are not deductible. For additional information, see the Taxability of Interest and Dividend Income From State, Local, and U.S. Government Obligations Information Guide. Line 12 Regulated Investment Company Dividends from U.S. Obligations. Enter the amount of government money market or mutual fund dividends issued by regulated investment companies that are obligations of the U.S. government. The fund must issue you a statement showing the percent of the dividend that represents exempt U.S. government obligations. You must list the name of the fund on line 12a, the total amount of the dividend paid by the fund on line 12b, and the percentage of dividend attributable to U.S. government obligations on line 12c. You then calculate the amount of dividend attributable to US government obligations on line 12d. Total all calculated dividend amounts on lines 12d and enter the result on line 12. Attach a schedule, if necessary, listing all the obligations and calculations. Line 14 Benefits Paid by the Railroad Retirement Board. Enter any federally taxed retirement benefits paid by the Railroad Retirement Board (RRB), such as Tier I and Tier II benefits, railroad retirement sick pay, disability, and unemployment benefits, included in federal AGI. List the name of the benefit paid on line 14a and the related amount on line 14b. Filers must attach a copy of Forms RRB‑1099, RRB‑1099-R, 1099-G, and W-2 from U.S. Railroad Retirement Board Sickness and Unemployment Benefits Section. Paper filers must attach a copy of pages 1 and 2 of Federal Form 1040 or 1040-SR to your Nebraska return.

You must do a computation to determine the Tier I amount if you received both Form SSA-1099 for social security benefits AND Form RRB-1099 for Railroad Retirement Board Tier I payments because the Social Security Benefits Worksheet in the federal tax booklet adds the benefits together to calculate the taxable benefits entered on line 6b of the Federal Form 1040 or 1040-SR.

Use the total amount of Tier I benefits divided by the total benefit amount reported on line 6a of the Federal Form 1040 or 1040-SR to calculate a ratio to six decimal places, then round to five decimals. For example, .454467,would be rounded to .45447 (45.447%). Multiply this ratio by the amount on line 6b of the Federal Form 1040 or 1040-SR. Enter the result for the Tier I amount on the Nebraska Schedule I. Line 15 Special Capital Gains/Extraordinary Dividend Deduction. See the Special Capital Gains/ Extraordinary Dividend Election and Computation, Form 4797N, instructions. Line 16 Nebraska College Savings Program Contribution. If during 2021 you, as an account owner or parent/ guardian custodian of an UGMA/UTMA account, made contributions to one or more college savings accounts established under the Nebraska Educational Savings Plan Trust, then enter the amount of your contributions, up to a maximum of $10,000 ($5,000 if married, filing separately) on line 16.

The Nebraska Educational Savings Plan Trust includes the following Plans:

u NEST Direct College Savings Plan;

u NEST Advisor College Savings Plan;

u Bloomwell 529 Education Savings Plan (formerly TD Ameritrade 529 College Savings Plan); and

u State Farm 529 Savings Plan.

Only the account owner or parent/guardian custodian of an UGMA/UTMA account who made the contributions may claim this deduction. You cannot deduct contributions made to other states’ 529 college savings plans on line 16. However, if an account in another state’s plan is rolled over to a Plan in the Nebraska Educational Savings Plan Trust, the amount received in a qualified rollover, up to a maximum of $10,000 ($5,000 if married, filing separately), is eligible for the deduction.

Any withdrawals from the Nebraska College Savings Program to pay K-12 expenses are non-qualified withdrawals and subject to recapture to the extent of any state income tax deductions previously claimed on the Nebraska income tax return. Nebraska law considers K-12 tuition a non-qualified use of Nebraska College Savings Program accounts even though these withdrawals are permissible under

federal law. In addition, repayment of a qualified education loan (lifetime maximum of $10,000) after 15 Part B — Adjustments Decreasing Federal AGI More info . . .

revenue.nebraska.gov 16 More info . . . More info . . . Line 16 (cont. 2018 is a federal qualified withdrawal but not a Nebraska qualified withdrawal. Qualified withdrawals from the Nebraska College Savings Program accounts must be used to pay qualified expenses at schools for higher education (colleges, universities, technical schools, graduate programs).

For questions about the Nebraska College Savings Program, go to treasurer.nebraska.gov, or contact the State Treasurer’s Office at 402-471-2455. Line 17 Employer Contribution to the Nebraska Educational Savings Plan. Enter the amount included in federal AGI of the contribution made by your employer into a Nebraska educational savings plan trust account owned by you. The employer contribution amount entered on line 17 cannot exceed $10,000 ($5,000 if married, filing separately).

For questions about the Nebraska College Savings Program, go to treasurer.nebraska.gov, or contact the State Treasurer’s Office at 402-471-2455. Line 18 Nebraska Enable Plan Contributions. If during 2021, you made contributions to one or more Enable Savings Plan accounts, enter the account numbers you contributed to and the amount of your contributions, up to a maximum of $10,000 ($5,000 if married, filing separately) on line 18. You cannot deduct contributions made to other 529A (ABLE) savings plans on line 18. For questions about the Enable Savings Plan, go to treasurer.nebraska.gov, or contact the State Treasurer’s Office at 402-471‑2455. Line 19 S Corporation and LLC Non-Nebraska Income. Enter the amount of S corporation or LLC income that is not from Nebraska sources. Attach the Federal Schedule K-1 and Nebraska Schedule K-1N received from the S corporation or LLC. Line 20 Nonresident Military Servicemember Active Duty Pay. Enter the amount of nonresident military servicemember active duty pay included in the servicemember’s federal AGI. The 2021 Form W-2 issued by the uniformed services to the servicemember must be attached to Form 1040N. The Form W-2 must identify the income as attributable to a state other than Nebraska in box 15. If “NE” is shown on the Form W-2, the adjustment will not be allowed. Only active duty military service compensation can be deducted on line 20. Line 21 Income Earned by a Native American Indian in Indian Country. Native American Indians residing in Indian country with income derived from sources within Indian country may deduct this income on line 21. Line 22 Claim of Right Repayment. Enter the amount required to be included on your federal return for a claim of right repayment. Line 23 Nebraska NOL Carryforward. Enter the amount of a Nebraska net operating loss carried forward from an earlier year. The Nebraska Net Operating Loss Worksheet, Form NOL, must be completed for the loss year and retained in the taxpayer's records until the loss is used. When the loss is claimed, you must attach a completed Form NOL for each previously established loss year being claimed. Line 24 Nebraska Agricultural Revenue Bond Interest. Enter the amount of interest income from Nebraska Agricultural Revenue Bonds that is included in federal AGI. Line 25 Federally Taxable Nebraska Investment Finance Authority (NIFA) Bond Interest. Enter total federally taxable NIFA bond income included in federal AGI. Line 26 Interest from Federally Taxable Build America Bonds Issued by Nebraska Governmental Units. Enter the amount of interest from these bonds that is included in federal AGI. Line 27 Social Security Income. If line 5 of Form 1040N is $59,960 or less for a married, filing jointly return (MFJ), or $44,460 or less for all other filing statuses, enter the amount of Social Security income included in federal AGI. If line 5 of Form 1040N exceeds $59,960 for MFJ or $44,460 for all other filing statuses, multiply the amount of Social Security income shown on line 6b, Federal Form 1040 or 1040-SR, page 1, by 5% and enter on line 27.

The amount claimed cannot exceed the amount shown on line 6b, Federal Form 1040 or 1040-SR, page 1. Paper filers must attach a copy of pages 1 and 2 of Federal Form 1040 or 1040-SR to your Nebraska return. Line 28 Military Retirement. Enter the amount of military retirement income allowable as a deduction based on your previously filed Form 1040N-MIL. Multiply the amount of military pension shown on line 5b, Federal Form 1040 or 1040-SR, page 1, by 40%. Only individuals who filed a Form 1040N-MIL within two years after the retirement date from the uniformed services may claim this exclusion.

Note: Nebraska law provides that the exclusion of 40% of an individual’s military retirement benefit begins in the year in which the election is made. For example, if you selected Option 1, you may claim this deduction on your 2021 tax return only if you filed your Form 1040N-MIL prior to January 1, 2022.

revenue.nebraska.gov Taxpayers filing a nonresident or partial-year resident return must complete Nebraska Schedule III to calculate the tax on their income derived from or connected with Nebraska sources. Line 1 Income Derived from Nebraska Sources. Enter the total of all income from Nebraska sources. Include all sources and amounts of income and deductions, as they were stated on the federal return. If more space is needed, attach a list of all income sources to Nebraska Schedule III. Partial‑year residents must include all items of Nebraska income for a nonresident, plus all income earned while a Nebraska resident that is not taxed by another state. This includes dividends, interest, pension income, sales of intangibles, and wages earned outside Nebraska. 17 Nebraska Schedule III Instructions Note: When completing lines 2 and 5 of Nebraska Schedule II, refer to the Conversion Chart on DOR’s website. Full-year Nebraska residents claiming a credit for income tax paid to another state, political subdivision of another state, or the District of Columbia must complete Nebraska Schedule II. Partial-year residents must use Nebraska Schedule III. A separate Schedule II must be completed for each state where income tax was paid. The total credits cannot exceed the Nebraska tax liability. If some income is subject to an income tax of both another state and a political subdivision in that state, complete only one Nebraska Schedule II and combine the state and political subdivision income taxes paid. Credit for Income Tax Paid to Another State. A credit will not be allowed unless you attach a complete copy of the other state’s or political subdivision’s tax return, including all schedules. If the tax is not reported on an income tax return, attach a copy of a letter or statement from the other state or political subdivision showing the income and the tax paid. For political subdivisions that do not require a return, attach the Form W-2 showing the subdivision’s tax withheld. Nebraska law does not allow credit for taxes paid to a foreign country or its political subdivisions. Line 1 Total Nebraska Tax. Enter the amount from line 17, Form 1040N. Line 2 Adjusted Gross Income Derived From Another State. Refer to the Conversion Chart. Enter the amount shown on the return filed with the other state as AGI, or gross income derived from sources within that state. Do not include any income from S corporations or LLCs reported on line 19, Nebraska Schedule I, or income that is not included in federal AGI after Nebraska adjustments from lines 12 and 13, Form 1040N. Line 3 Calculate the Ratio. Calculate the ratio to six decimal places, and then round to five decimals. For example, if your division result is .123467, round to .12347 (12.347%). Line 4 Calculated Tax Credit. Multiply the ratio (line 3) by the total Nebraska tax (line 1), Nebraska Schedule II. Line 5 Tax Due and Paid to Another State. Refer to the Conversion Chart. Enter the amount shown on the return filed with the other state as tax paid to that state. Do not enter the total of the other state’s tax withheld. For tax paid to a political subdivision of another state that does not require filing an annual income tax return, enter the income tax withholding for that subdivision. If you and your spouse file married, filing separately in Nebraska, but file married, filing jointly in another state, attach a calculation of each spouse’s share of the total tax paid to the other state. Use the net income of each spouse that is taxed by the other state in the calculation. Line 6 Allowable Tax Credit. Enter the amount from line 1, 4, or 5, Nebraska Schedule II, whichever is least. Also enter this amount on line 19 of Form 1040N. Nebraska Schedule II Instructions Line 29 Dividends Received or Deemed to be Received from Corporations not Subject to the IRC. This deduction is generally limited to dividends received or deemed to be received from foreign corporations. Dividends received from domestic corporations are not deductible. Line 30 Segal AmeriCorp Education Award. Enter the amount of the Segal AmeriCorp Education Award included in federal AGI. The Form 1099-MISC must be attached to Form 1040N when your education award and interest payments total more than $600 in a calendar year. All education award and interest payments are considered taxable, even if they do not total $600. Line 31 Total Adjustments Decreasing Federal AGI. Total lines 10 and 13 through 30, enter here, and on line 13, Form 1040N.

revenue.nebraska.gov Line 1 (cont.) Detailed information on the types of income that must be listed and included on line 1, Schedule III is available on DOR’s website. A partial list is shown below: u Wages, salaries, tips, and commissions; u Severance pay associated with Nebraska employment; u Dividends, interest, and other passive income; u Business income; u Farming and ranching income; u Partnership, S corporation, LLC, estate, or trust income;

u Gain or loss; u Rent and royalty income; u Lottery prizes; u Net operating loss carryforward; and u Financial institution tax credit claimed. Income of a Servicemember's Spouse. Under the federal Servicemembers Civil Relief Act (SCRA), Nebraska cannot tax the income of a nonresident servicemember’s spouse when the spouse has the same state of residence as the servicemember and is in this state only in support of the servicemember. The Veterans Benefits and Transition Act of 2020 amended the SCRA by adding an election to allow the military servicemember spouse to claim the military servicemember’s state of residency for tax purposes for any taxable year of the marriage if the spouse is in Nebraska only in support of the servicemember. The spouse’s income should not be included as Nebraska source income on line 1, Schedule III. For more information, see the Nebraska Income Tax for U.S. Servicemembers, Their Spouses, and Civilians Working with U.S. Forces Information Guide. Line 2 Adjustments as Applied to Nebraska Income. If you claimed adjustments to income on lines 11‑25 on Schedule 1, Federal Form 1040 or 1040-SR, a portion of these amounts may be allowable as a deduction on line 2, Schedule III. List the type of adjustment on line 2a and the corresponding amount on line 2b, Schedule III. Line 4 Ratio, Nebraska’s Share of the Total Income. Use the equation to calculate a ratio that represents Nebraska’s share of total income. Calculate the ratio to six decimal places and then round to five decimals. For example, if the line 4, Schedule III result is .123467, round to .12347 (12.347%) before computing line 9, Schedule III. Even if line 5, Form 1040N and line 1, Schedule III are negative numbers, the ratio computed in line 4, Schedule III cannot exceed 100%. If the ratio is 100% or more, report 1.00000. Line 5 Nebraska Taxable Income. Enter the amount from line 14, Form 1040N. Line 6 Nebraska Tax Calculation. Paper filers use the Nebraska Tax Table and the income shown on line 5, Schedule III, to find the tax amount to enter on line 6, Schedule III. Electronic filers must use the Nebraska Tax Calculation Schedule to calculate tax on Nebraska Taxable Income. Partial-year residents enter your Nebraska credit for the elderly or disabled, or credit for child/ dependent care expenses. See applicable instructions for lines 20, 23, and 33, Form 1040N. Partial-year residents with federal AGI of $29,000 or less cannot claim child care credit here, and must instead complete line 12, Form 2441N, to calculate the amount to enter on line 33, Form 1040N. Calculate the Nebraska earned income credit on lines 11 and 12, Schedule III. Nonresidents are not allowed any credits on the line 6, Schedule III calculation. Line 7 Nebraska Personal Exemption Credit. Enter your credit for personal exemptions. ($142 multiplied by the number of exemptions shown on line 4, Form 1040N). Do not enter on line 18, Form 1040N. Line 8 Tax After Nebraska Personal Exemption Credit. Line 6, Schedule III, minus line 7, Schedule III. Line 9 Nebraska Income Tax. Multiply line 8, Schedule III, by the ratio you computed on line 4, Schedule III. Line 10 Nebraska Other Tax. Complete all of lines 10a-f, Schedule III, that are applicable to your tax calculation. See line 16, Form 1040N instructions. Lines 11 and 12 Earned Income Credit. Partial-year residents may claim this credit by entering the number of qualifying children on line 11a, Schedule III, and the federal earned income credit information on line 11b, Schedule III. The allowable Nebraska credit is 10% of the federal earned income credit multiplied by the ratio calculated on line 4, Schedule III. Enter the result on line 12, Schedule III, and on line 35, Form 1040N. To receive this credit, paper filers must attach a copy of pages 1 and 2 of their federal return. Nonresidents cannot claim the Nebraska earned income credit. 18 More info . . .

High School District Code Your Social Security Number Spouse’s Social Security Number Federal Filing Status: (1) Single (2) Married, filing jointly 1 (3) Married, filing separately – Spouse’s SSN:

and Full Name 3 Type of Return:

(1) Resident (1) Farmer/Rancher (2) Active Military (1) Deceased Taxpayer(s) (first name & date of death): (4) Head of Household (5) Widow(er) with dependent children 2a Check if YOU were: (1) 65 or older (2) Blind SPOUSE was: (3) 65 or older (4) Blind 2b 8-417-2021 Check here if someone (such as your parent) can claim you or your spouse as a dependent: (1) You (2) Spouse (2) Partial-year resident from , 2021 to , 2021 (attach Schedule III) (3) Nonresident (attach Schedule III) Complete Reverse Side Nebraska Individual Income Tax Return for the taxable year January 1, 2021 through December 31, 2021 or other taxable year: , 2021 through , FORM 1040N 2021 Please Do Not Write In This Space Please Type or Print 00 00 00 00 00 00 00 00 00 00 00 00 00 6 Nebraska 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 qualified widow[er]; $7,100 if married, filing separately; or $10,450 if head of household) . 6 7 Total itemized deductions (line 17, Federal Schedule A – see instructions) . . . . . . 7 8 State and local income taxes (line 5a, Schedule A, Federal Form 1040 or 1040-SR) 8 9 Nebraska itemized deductions (line 7 minus line 8) . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Nebraska standard deduction or the Nebraska itemized deductions, whichever is greater (the larger of line 6 or line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 11 Nebraska income before adjustments (line 5 minus line 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12 Adjustments increasing federal AGI (line 9, from attached Nebraska Schedule I) . 12 13 Adjustments decreasing federal AGI (line 31, from attached Nebraska Schedule I) 13 14 Nebraska Taxable Income (enter line 11 plus line 12 minus line 13). If less than -0-, enter -0-. Residents

complete lines 15 and 16. Partial-year residents and nonresidents complete Nebr. Sch. III before continuing . . 14 15 Nebraska income tax (Partial-year residents and nonresidents enter the result from line 9, Nebraska Schedule III. Paper filers may use the Nebraska Tax Table. All others must use Tax Calculation Schedule.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Nebraska other tax calculation: a Federal Tax on Lump-Sum Distributions (Federal Form 4972). 16 a $____________ b Federal tax on early distributions (lesser of Federal Form 5329 or line 8, Sch. 2, Federal Form 1040 or 1040-SR) .16 b $____________ c Total (add lines 16a and 16b) . . . . . . . . . . . . . . . . . . . . . . . 16 c $____________ Residents multiply line 16c by 29.6% (x .296) and enter the result on line 16. Partial-year residents and nonresidents enter the result from line 10, Nebraska Schedule III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 17 Total 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 Dependents, if more than three, see instructions First Name Last Name Dependent's Social Security Number 4 Nebraska 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 _______ c Total number of dependents listed. . . . 4 c _______

Total Nebraska personal exemptions – add lines 4a, 4b, and 4c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Federal adjusted gross income (AGI) (line 11, Federal Form 1040 or 1040-SR) Do not leave blank . . . . . . . . . . 5 At any time during 2021, did you receive, sell, exchange, or otherwise dispose of any financial interest in any virtual currency? Yes No Your First Name and Initial Last Name

If a Joint Return, Spouse’s First Name and Initial Last Name

Current Mailing Address (Number and Street or PO Box) City State Zip Code RESET PRINT

sign here Keep a copy of this return for your records. Your Signature Date Email Address Spouse’s Signature (if filing jointly, both must sign) Daytime Phone Preparer’s Signature Date Preparer’s PTIN Print Firm’s Name (or yours if self-employed), Address and Zip Code EIN Daytime Phone Mail returns requesting a refund to: Nebraska Department of Revenue, PO Box 98912, Lincoln, NE 68509-8912. Mail returns not requesting a refund to: Nebraska Department of Revenue, PO Box 98934, Lincoln, NE 68509-8934. 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 paid preparer’s use only 00 00 00 00 00 00 00 00 00 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. 18 Nebr. personal exemption credit for residents only ($142 times the number on line 4) 18 19 Credit for tax paid to another state, line 6, Nebraska Schedule II

(attach Nebraska Schedule II and a copy of the other state's return) . . . . . . 19 20 Credit for the elderly or disabled (attach copy of Federal Schedule R) . . . . . . . . . . 20 21 Community Development Assistance Act credit (attach Form CDN) . . . . . . . . . . . . 21 22 Form 3800N nonrefundable credit (attach Form 3800N) . . . . . . . . . . . . . . . . . . . . . 22 23 Nebraska child/dependent care nonrefundable credit, only if line 5 is more than $29,000 (attach a copy of Federal Form 2441 and see instructions) . . . . 23 24 Credit for financial institution tax (attach Form NFC) . . . . . . . . . . . . . . . . . . . . . . . . 24 25 Employer’s credit for expenses incurred for TANF (ADC) recipients (see instr.) . . . 25 26 School Readiness Tax Credit for providers (see instructions) . . . . . . . . . . . . . . . . . 26 27 Designated extremely blighted area tax credit (attach Form 1040N-EB) . . . . . . . . 27 28 Total nonrefundable credits (add lines 18 through 27). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 29 Nebraska tax after nonrefundable credits. Subtract line 28 from line 17 (if line 28 is more than line 17, enter -0-). If the result is greater than your federal tax liability, see page 9 in the instructions. If entering federal tax, check box and attach a copy of the federal return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 30 Total Nebraska income tax withheld (attach 2021 Forms, see instructions) a W-2 $ ________________ b K-1N $ ________________ c W-2G, 1099-R,1099-MISC, 1099-NEC or others $ ________________ . . . . . . 30 31 2021 estimated income tax payments (include any 2020 overpayment credited to 2021 and any payments submitted with an extension request) . . . . . . . . . . . . . . . . 31 32 Form 3800N refundable credit (attach Form 3800N) . . . . . . . . . . . . . . . . . . . . . . . . 32 33 Nebraska child/dependent care refundable credit, if line 5 is $29,000 or less

(attach a copy of Form 2441N) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 34 Beginning Farmer credit from Form 1099 BFC (NDA NextGen) . . . . . . . . . . . . . . . 34 35 Nebraska earned income credit. Enter number of qualifying children 97 Federal credit 98 $ .00 x .10 (10%) (attach pages 1-2 of federal return) 35 36 Nebraska Property Tax Incentive Act Credit (attach Form PTC) . . . . . . . . . . . . . . 36 37 Credit for qualified Volunteer Emergency Responders (see instructions) . . . . . . . . . 37 38 School Readiness Tax Credit for qualified staff members (see instructions) . . . . . . 38 39 Total refundable credits (add lines 30 through 38) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 40 Penalty for underpayment of estimated tax (see instructions). If you calculated a Form 2210N penalty of -0- 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 42 Use 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 -0- on line 42. . . . . . . . . . . . . . . . . . 42 43 Total amount due. If line 39 is less than total of lines 41 and 42, subtract line 39 from the total of lines 41 and 42. Pay this amount in full. For electronic or credit card payment, check here and see instructions . . . . 43 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 45 Amount of line 44 you want applied to your 2022 estimated tax . . . . . . . . . . . . . . 45 46 Wildlife Conservation Fund donation of $1 or more . . . . . . . . . . . . . . . . . . . 46 47 Amount of line 44 you want refunded to you (line 44 minus lines 45 and 46) Your refund will generally be issued by July 15, if your paper return is filed by April 15 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 47 48a Routing Number 48b Type of Account 1 = Checking 2 = Savings 48c Account Number 48d Check this box if this refund will go to a bank account outside the United States.

Part A — Adjustments Increasing Federal AGI • Attach additional pages if necessary. Nebraska Schedule I — Nebraska Adjustments to Income for Nebraska Residents, Partial-Year Residents, and Nonresidents Nebraska Schedule I — Nebraska Adjustments to Income (Nebraska Schedule II reverse side.) Name on Form 1040N Social Security Number • Attach this page to Form 1040N. 8-418-2021 2021 FORM 1040N Schedule I Part B — Adjustments Decreasing Federal AGI 1 Interest income from all state and local obligations exempt from federal tax a List type: b Amount: $ Total interest income exempt from federal tax. Enter total of lines 1b.............................................................. 1 2 Exempt interest income from Nebraska obligations a List type: b Amount: $ Total exempt interest income from Nebraska obligations. Enter total of lines 2b............................................. 2 3 Total taxable interest income. Enter the result of line 1 minus line 2................................................................... 3 4 Financial Institution Tax Credit claimed. Enter amount from line 24, Form 1040N.............................................. 4 5 Nebraska College Savings Program recapture (see instructions)....................................................................... 5 6 Nebraska Enable plan recapture ......................................................................................................................... 6 7 Federal net operating loss deduction.................................................................................................................. 7 8 S corporation or LLC Non-Nebraska loss............................................................................................................ 8 9 Total adjustments increasing federal AGI (total lines 3 through 8). Enter here and on line 12, Form 1040N...... 9 Name on Form 1040N Social Security Number 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 10 State income tax refund deduction. Enter line 1, Schedule 1, Federal Form 1040 or 1040-SR........................... 10 11 U.S. government obligations exempt for state purposes (list below or attach schedule) a List type: b Amount: $ Total U.S. government obligations exempt for state purposes. Enter total of lines 11b................................... 11 12 List fund name, total dividend, and percent of regulated investment company dividends from a U.S. obligation: b Total dividend: $ x c . % = d $ Total regulated investment company dividends. Enter total of lines 12d.......................................................... 12 13 Total U.S. government obligations. Enter total of lines 11 and 12....................................................................... 13 14 Benefits paid by the Railroad Retirement Board (RRB) included in the federal AGI. Must attach pages 1 and 2 of your federal income tax return and all Forms 1099 and W-2 from the RRB. a List type: b Amount: $ Total benefits paid by the RRB included in federal AGI. Enter total of lines 14b.............................................. 14 15 Special capital gains/extraordinary dividend deduction [attach Form 4797N; a copy of Federal Schedule D; and Form 8949 (or Federal Schedule B when claiming extraordinary dividend deduction)] (see instructions)... 15 16 Nebraska College Savings Program contribution (see instructions).................................................................... 16 17 Employer contribution to the Nebraska Educational Savings Plan (see instructions).......................................... 17 18 Nebraska Enable plan contributions. List the account number and annual contribution amount for each account you contributed to during this tax year (list below or attach schedule) a Account Number: b Amount: $ Total Nebraska Enable plan contributions........................................................................................................ 18 19 S corporation and LLC Non-Nebraska income (attach Nebraska Schedules K-1N, see instructions)................. 19 20 Nonresident military servicemember active duty pay (attach active duty Form W-2, identifying the income as attributable to another state, see instructions)..................................................................................................... 20 21 Income earned by a Native American Indian in Indian country............................................................................ 21 22 Claim of right repayment...................................................................................................................................... 22 23 Nebraska NOL carryforward (attach a copy of the Nebraska NOL Worksheet for each loss year claimed on this line)................................................................................................................................................................ 23 24 Nebraska agricultural revenue bond interest....................................................................................................... 24 25 Interest from federally taxable Nebraska Investment Finance Association (NIFA) bonds................................... 25 26 Interest from federally taxable Build America Bonds issued by Nebraska governmental units........................... 26 27 Social Security included in Federal AGI (see instructions) Must attach pages 1 and 2 of your federal income tax return............................................................................................................................................... 27 28 Military retirement. Form 1040N-MIL must be on file with DOR (see instructions).............................................. 28 29 Dividends received or deemed to be received from corporations not subject to the IRC..................................... 29 30 Segal AmeriCorps Education Award (attach Form 1099-MISC, see instructions)................................................ 30 31 Total adjustments decreasing federal AGI (total lines 10 and 13 through 30). Enter here and on line 13, Form 1040N............................................................................................................................................. 31 RESET PRINT

2021 FORM 1040N Schedule II 1 Total Nebraska tax (line 17, Form 1040N)........................................................................................................... 1 2 Adjusted gross income derived from another state (do not enter amount of taxable income from the other state – use Conversion Chart on the DOR’s website)................................................................................. 2 3 Ratio Line 2 (Form 1040N, Line 5 + Line 12 – Line 13) + – 3 4 Calculated tax credit. Line 1 multiplied by line 3 ratio ......................................................................................... 4 5 Tax due and paid to another state (do not enter amount withheld for the other state – use Conversion Chart on the DOR’s website).......................................................................................................................................... 5 6 Allowable tax credit (line 1, 4, or 5, whichever is least). Enter amount here and on line 19, Form 1040N.......... 6 • Complete a separate Schedule II for each state. • A complete copy of the return filed with another state must be attached. If the entire return is not attached, credit for tax paid to another state will not be allowed. Name of state: Nebraska Schedule II — Credit for Tax Paid to Another State for FULL-YEAR RESIDENTS ONLY 00 00 00 00 00 . = = = Name on Form 1040N Social Security Number Nebraska Schedule II — Credit for Tax Paid to Another State

Nebraska Schedule III — Computation of Nebraska Tax 2021 FORM 1040N Schedule III • You must complete lines 1 through 14, Form 1040N. If you have state, local, or federal bond interest or other adjustments, complete Parts A and B of Nebraska Schedule I. Use Schedule III to calculate your Nebraska tax liability. • You do not have to provide a copy of other state returns when filing Schedule III. Nebraska Schedule III — Computation of Nebraska Tax for PARTIAL-YEAR RESIDENTS AND NONRESIDENTS ONLY . 00 00 00 00 00 00 00 00 00 00 00 1 Income derived from Nebraska sources. Include income from wages, interest, dividends, business, farming, Nebraska unemployment payments, severance payments connected to Nebraska employment, partnerships, S corporations, limited liability companies, estates and trusts, gain or loss, rents, royalties, and financial institution tax credit amount. If there is no Nebraska income or loss, enter -0-. a List type: b Amount: $ List type: Amount: Total income derived from Nebraska sources. Enter total of lines 1b.............................................................. 1 2 Adjustments as applied to Nebraska income, if any (see instructions) a List type: b Amount: $ List type: Amount: Total adjustment as applied to Nebraska income. Enter total of lines 2b........................................................ 2 3 Nebraska adjusted gross income (line 1 minus line 2)........................................................................................ 3 4 Ratio — Nebraska’s share of the total income (calculate to six decimal places, and round to five):...................... Line 3 (Form 1040N, Line 5 + Line 12 – Line 13) + – 4 5 Nebraska Taxable Income (line 14, Form 1040N) 5 6 Nebraska tax calculation (see instructions) a Tax on Nebraska Taxable Income from line 5................................................................6 a_ $____________ b Partial-year residents, enter Nebraska nonrefundable credit for the elderly or disabled... 6 b_ $____________ c Partial-year residents, enter Nebraska child/dependent care nonrefundable credit.......6 c_ $____________ d Subtotal credits (add lines 6b and 6c)............................................................................6 d_ $____________ Line 6a minus line 6d ..................................................................................................................................... 6 7 Multiply Nebraska personal exemption credit of $142 by the number of Nebraska personal exemptions on line 4, Form 1040N.............................................................................................................................................. 7 8 Tax after Nebraska personal exemption credit (line 6 minus line 7). If less than $0, enter -0- here, and if you have any other tax due, apply any unused Nebraska personal exemption credit against that tax on line 10e.... 8 9 Nebraska income tax. Multiply line 8 by the ratio you computed on line 4. Enter result here and on line 15, Form 1040N............................................................................................................................................. 9 10 Nebraska other tax calculation: a Federal Tax on Lump Sum Distributions (Form 4972).................................................10 a $____________ b Federal tax on early distributions (lesser of Form 5329 or line 8, Schedule 2, Federal Form 1040 or 1040-SR)..................................................................................10 b $____________ c Subtotal (add lines 10a and 10b).................................................................................10 c $____________ d Tax calculation. Multiply line 10c by 29.6% (x .296).....................................................10 d $____________ e Enter any unused Nebraska personal exemption credit from the calculation on line 8 .10 e $____________ f Subtract line 10e from line 10d.....................................................................................10 f $____________ Multiply line 10f by line 4 ratio. Enter result here and on line 16, Form 1040N.............................................. 10 11 Earned income credit (Partial-Year Residents Only) a Number of qualifying children. Enter here and on line 35, box 97, Form 1040N..........11 a _____________ b Enter federal earned income credit from federal tax return here and on line 35, box 98, Form 1040N .......................................................................................11 b $____________ Multiply line 11b amount by 10% (x .10). Enter the result here (see instructions). ........................................ 11 12 Nebraska earned income credit. Multiply line 11 by the ratio you computed on line 4 (Must attach a copy of federal tax return pages 1 and 2 to your return). Enter result here and on line 35, Form 1040N................... 12 = = = Name on Form 1040N Social Security Number

Part C – School District Property Taxes Paid in 2020 by a Pass-Through Entity. (A pass-through entity includes a partnership, S corporation, LLC, and fiduciary). See instructions. 5 School district property taxes paid in 2020. Enter the following information for each parcel. Property Tax Year Nebraska County Number (Do not enter numbers from license plates.) Parcel ID Number (Must include the dashes for Lancaster County.) Nebraska School District Property Taxes Paid Type of Nebraska Tax Return this Form is being Filed with

1040N 1041N 1065N 1120N 1120NF 1120-SN Part A — Computation of the Credit Name on Tax Return Social Security Number or Nebraska ID Number Nebraska Property Tax Incentive Act Credit Computation Use this Form with the Forms noted below to claim the property tax credit. FORM PTC 2021 8-822-2021 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 1 School district property tax credit – taxes you paid in 2021 [Enter the result of line 4 multiplied by 25.3% (.253)]. 1 2 School district property tax credit – taxes paid in 2020 by a pass-through entity or allocated by a pass-through entity [Enter the result of line 5 multiplied by 6% (.06)].......................................................................................... 2 3 Nebraska Property Tax Incentive Act credit (line 1 plus line 2) Enter here and on line 36, Form 1040N; line 24, Form 1041N; line 24, Form 1120N; line 10, Form 1120-SN; line 10, Form 1065N; or line 18, Form 1120NF. 3 Total school district property taxes you paid in 2021............................................................................................. 4 Total school district property taxes paid in 2020.................................................................................................... 5 Part C is only for:

a Pass-through entities that elected not to distribute the school district property taxes paid in 2020; or

b Pass-through entity owners that received an allocation of school district property taxes paid in 2020 by a pass-through entity with a fiscal year ending in 2021 that was not claimed on Form PTC for the tax year 2020 return. Check this box if b applies. Part B – School District Property Taxes Paid in 2021 4 School district property taxes paid in 2021. Enter the following information for each parcel. Property Tax Year Nebraska County Number (Do not enter numbers from license plates.) Parcel ID Number (Must include the dashes for Lancaster County.) Nebraska School District Property Taxes You Paid RESET PRINT

Instructions Important Information for All Filers General Instructions If you own only one parcel of real estate, owned it throughout the entire property tax year, and paid the taxes yourself directly or through your monthly payments into escrow, this form can be completed quickly and easily. Look up your parcel in the Nebraska School District Property Tax Look-Up Tool to complete line 4, multiply line 4 by .253 and enter the result on lines 1 and 3. Purpose. The Nebraska Property Tax Incentive Act Credit Computation, Form PTC, is used to identify parcels and compute a tax credit for school district property tax paid. Nebraska School District Property Tax Look-Up Tool. You may determine the amount of school district property tax paid on a parcel in the 2020 and 2021 calendar year, by using the Nebraska Department of Revenue’s (DOR’s) Nebraska School District Property Tax Look-Up Tool. DOR strongly recommends using this look up tool. Nebraska School District Property Taxes Paid. The school district property tax is paid on the date received by the county treasurer. The date the school district property taxes were received is affected by the following rules.

1. Mortgage Escrow Accounts. When your payment to a mortgage company includes an escrow for property taxes, the date the county treasurer receives payment from the escrow account is the date the school district property taxes were paid;

2. Parcel Sales – Property Taxes Funded. When you fund property taxes at closing, the related school district property taxes were paid when received by the county treasurer. You may claim the credit on the school district property taxes related to the property taxes you funded, but only for the calendar year that the county received the money from the escrow agent;

3. Parcel Sales – Property Taxes Reimbursed. When the buyer reimburses the seller for property taxes that were already paid, the buyer cannot take the credit on any portion of the reimbursement because the county treasurer already received the taxes paid by the seller.

4. County Treasurer Escrow Accounts. When you make partial property tax payments that are held in escrow by the county treasurer, the school district property taxes are paid when applied to the parcel in the records of the county treasurer.

5. Tax Sale Certificate. The school district property taxes are received by the county treasurer when collected from the person that purchased the tax sale certificate. Persons who redeem the tax certificate are repaying a loan to obtain a lien release. The redeemer cannot take the credit for the redemption. DOR obtains property tax data from each county treasurer. That data includes the amount of property taxes received during a calendar year. DOR will use the county treasurer receipt data, unless you can show the county treasurer’s data is incorrect. Limitation on School District Property Tax. Nebraska School District Property Tax Paid does not include property taxes levied for bonded indebtedness, taxes levied as a result of an override of the limits on property tax levies approved by voters, or credits applied to the property taxes levied. The Look-up Tool automatically takes these items into account in computing the school district property taxes paid. Enter All Nebraska School District Property Tax Amounts as Whole Dollars. Round any amount from 50 cents to 99 cents to the next higher dollar. Round any amount less than 50 cents to the next lower dollar. Records. All taxpayers must retain records for at least three years after filing the tax return claiming the credit for school district property taxes paid. Taxpayers using DOR’s Nebraska School District Property Tax Look-Up Tool should print or save the information provided by the look up tool. Who Must File. Form PTC must be filed by an individual, corporation, partnership, LLC, fiduciary, or financial institution claiming the credit. When and Where to File. Form PTC must be filed with the Nebraska income tax or financial institution tax return on which the credit is claimed. How to Complete the Form PTC Taxpayers claiming the credit should complete Part B and Part C (if applicable) before completing Part A. Part A – Computation of the Credit Part A is used to compute the credit for school district property taxes paid and reported in Parts B and C. Part B – School District Property Taxes Paid in 2021 Part B is used by individuals, C corporations, S corporations, partnerships, LLCs, financial institutions, and fiduciaries that paid school district property taxes in 2021. Fiscal Year and Short Year Filers. The credit may be claimed in the first income tax year that begins in the calendar year the school district property taxes were paid.

Property Tax Year Nebraska County Number (Do not enter numbers from license plates.) Parcel ID Number (Include the dashes for Lancaster County.) Nebraska School District Property Taxes You Paid 2020 55 17-12-345-678-000 190 2021 55 17-12-345-678-000 220 2020 55 17-87-654-321-000 232 2021 55 17-87-654-321-000 510 Total school district property taxes paid in 2021 .......................................................................................................................... 4 1,152 00 00 00 00 00 Fiscal Year Filers. Taxpayer’s with a fiscal year beginning in 2021 and ending in 2022 may complete Part B for school district property taxes paid during the entire 2021 calendar year. The credit claimed in this fiscal year cannot include any school district property taxes paid in 2022. Short Year Filers. Taxpayers with a short period beginning in 2021 and ending in 2022. If this is the first short year beginning in 2021, complete Part B for the school district property taxes paid during the entire 2021 calendar year. Taxpayers with a short period beginning and ending in 2021. If this is the first short year beginning in 2021, complete Part B for the school district property taxes paid during the entire 2021 calendar year. You may have to file an extension to be sure that the information will be available in the Nebraska School District Property Tax Look-up Tool at the time you file the first short year return. Taxpayers filing for the second short period beginning in 2021 cannot claim the credit on the second short period return. Information must be entered separately for each parcel for which school district property taxes were paid in calendar year 2021. A separate entry must also be made for each property tax year for which school district property taxes were paid in 2021. If Part B does not have enough rows to include all the parcels or years for which you paid school district property taxes, attach a schedule in the same format as Part B. Example 1. Joe Pear owns two parcels in Lancaster County and paid school district property taxes levied on those parcels for the 2020 and 2021 property tax year during the 2021 calendar year. Joe purchased parcel 17-12‑345‑678‑000 on August 1, 2010 and parcel 17-87-654-321-000 on July 1, 2020. The total 2020 school district property taxes paid on parcel 17‑87-654-321-000 was $460. Joe’s portion of the 2020 school district property taxes paid on parcel 17‑87‑654‑321‑000 was $232 as computed using the Property Tax Look Up Tool. Part B of Form PTC should be completed as follows: Property Tax Year. Enter the property tax year for which the Nebraska school district property taxes were levied. Most taxpayers pay their property taxes in the year after the taxes were levied. If more than one year of property taxes were paid in the 2021 calendar year, a separate entry must be made for each property tax year. See example 1 above. Nebraska County Number. Enter the number assigned to the county where the parcel is located. This number is provided by DOR’s Nebraska School District Property Tax Look-Up Tool or may be found on the County Parcel ID Search. This number is not the same as the county number used for license plates. Do not enter the county number from a license plate. Parcel ID Number. Enter the parcel ID number assigned by the county assessor to the parcel. This number may be found on the Real Estate Tax Statement issued by the county treasurer where the parcel is located. The parcel ID number may also be found using the DOR's Nebraska School District Property Tax Look-Up Tool. Some counties use the term “property ID” rather than “parcel ID”. Parcel ID numbers assigned by Lancaster County include dashes. The parcel ID number entered on Form PTC for parcels located in Lancaster County must include the dashes. The parcel ID numbers for the other 92 counties have either 9 or 10 digits and no dashes. Nebraska School District Property Taxes Paid. Enter the amount of school district property taxes you paid on the parcel during the 2021 calendar year. This amount may be computed using DOR’s Nebraska School District Property Tax Look-Up Tool or the taxpayer’s records. Those records include, but are not be limited to, the Real Estate Tax Statement issued by the county treasurer where the parcel is located. If the school district property taxes paid is computed using your records, remember that the amount entered is limited to taxes levied on real property in Nebraska by a school district or multiple-district school system. The amount entered cannot include property taxes levied for bonded indebtedness, taxes levied as a result of an override of the limits on property tax levies approved by the voters, or credits applied to the property taxes levied. The Look-up tool automatically takes these items into account in computing the school district property taxes paid. Example 2. In 2021, an individual paid the 2020 property taxes levied on a parcel located in Adams County. The 2020 Real Estate Tax Statement includes the following amounts:

Hastings School District $2,200

Hastings School Bond 381 Only the $2,200 levied by the Hastings School District can be entered as school district property taxes paid. The Hastings School Bond amount levied for the Hastings School District indebtedness cannot be included in the amount of school district property taxes paid.

Total School District Property Taxes Paid in 2021. Enter the sum of the school district property taxes paid on the parcel or parcels listed in Part B. Part C – School District Property Taxes Paid in 2020 By a Pass-Through Entity or Allocated by a Pass-Through Entity (Pass-through entities include partnerships, S corporations, LLCs, and fiduciaries) Part C is used by:

• Partnerships, S Corporations, LLCs, and fiduciaries that did not claim the credit or allocate the school district property taxes paid in 2020. The credit may be claimed in the first taxable year beginning in 2021.

• Partners, shareholders, members, and beneficiaries allocated school district property taxes paid by a partnership, S corporation, LLC, or fiduciary in its fiscal year that began in 2020 and ended in 2021. Pass‑through entities that received an allocation and subsequently allocated those property taxes paid cannot claim the credit. Fiscal Year and Short Year Filers Fiscal Year Filers. Taxpayer’s with a fiscal year beginning in 2021 and ending in 2022 may complete Part C for school district property taxes paid during the entire 2020 calendar year. The school district property taxes paid in 2021 must be reported in Part B. Short Year Filers. Taxpayers with a short period beginning in 2021 and ending in 2022. If this is the first short year beginning in 2021, complete Part C for the school district property taxes paid during the entire 2020 calendar year. The school district property taxes paid in 2021 must be reported in Part B. Taxpayers with a short period beginning and ending in 2021. If this is the first short year beginning in 2021, complete Part C for the school district property taxes paid during the entire 2020 calendar year. Taxpayers filing for the second short period beginning in 2021 cannot claim the credit on the second short period return. Information must be entered separately for each parcel for which school district property taxes were paid in calendar year 2020 and for each parcel for which school district property taxes were allocated. A separate entry must also be made for each property tax year for which school district property taxes were paid in 2020 and for each parcel for which school district property taxes were allocated. If Part C does not have enough rows to include all the parcels or years for which you paid or were allocated school district property taxes, attach a schedule in the same format as Part C. Property Tax Year. Enter the property tax year for which the school district property taxes were levied. Most taxpayers pay their property taxes in the year after the taxes were levied. If more than one year of property taxes were paid in the 2020 calendar year, a separate entry must be made for each property tax year. Nebraska County Number. Enter the number assigned to the county where the parcel is located. This number is provided by the look-up tool or may be found on the County Parcel ID Search. This number is not the same as the county number used for license plates. Do not enter the county number from a license plate. Parcel ID Number. Enter the parcel ID number assigned by the county assessor to the parcel. This number may be found on the Real Estate Tax Statement issued by the county treasurer where the parcel is located. The parcel ID number may also be found using DOR's Nebraska School District Property Tax Look-Up Tool. Some counties use the term “property ID” rather than “parcel ID”. Parcel ID numbers assigned by Lancaster County include dashes. The parcel ID number entered on Form PTC for parcels located in Lancaster County must include the dashes. The parcel ID numbers for the other 92 counties have either 9 or 10 digits and no dashes. Nebraska School District Property Taxes Paid Partnerships, S Corporations, LLCs, and fiduciaries that did not claim the credit or allocate the school district property taxes paid in 2020. Enter the amount of school district property taxes you paid on the parcel during the 2020 calendar year. This amount is computed by DOR’s Nebraska School District Property Tax Look- Up Tool or may be computed using the taxpayer’s records. Those records include, but are not be limited to, the Real Estate Tax Statement issued by the county treasurer where the parcel is located. If the school district property taxes paid is computed using your records, remember that the amount entered is limited to taxes levied on real property in Nebraska by a school district or multiple-district school system. The amount entered cannot include property taxes levied for bonded indebtedness, taxes levied as a result of an override of the limits on property tax levies approved by the voters, or credits applied to the property taxes levied. The Look-up tool automatically takes these items into account in computing the school district property taxes paid. Partners, shareholders, members, and beneficiaries that received allocations for school district property taxes paid by a partnership, S corporation, LLC, or fiduciary in its fiscal year that began in 2020 and ended in 2021. Enter your share of the school property taxes paid by the partnership, S corporation, LLC, or fiduciary. You should not make any entries for allocated school property taxes from calendar-year partnerships, S corporations, LLCs, or fiduciaries. Total School District Property Taxes Paid in 2020 by a Pass-Through Entity or Allocated by a Pass- Through Entity. Enter the sum of the school district property taxes paid or allocated to you by a pass-through entity on the parcel or parcels listed in Part C.

2021 Public High School District Codes All taxpayers who are Nebraska residents on December 31, 2021, are required to enter the Public High School District Code on Form 1040N. Take the following steps: 1. On this 2021 Public High School District Codes listing, find your county of residence. 2. Find the high school district where you live. 3. Find the seven-digit code for your high school district. 4. Enter the seven-digit code for your high school district on Form 1040N. If you fail to include your high school district code on your return, processing of your return and any refund may be delayed. Adams Adams Central High 90 0101090 Blue Hill 74 0191074 Doniphan-Trumbull 126 0140126 Hastings 18 0101018 Kenesaw 3 0101003 Lawrence/Nelson 5 0165005 Minden R3 0150503 Sandy Creek 1C 0118501 Shelton 19 0110019 Silver Lake 123 0101123 Antelope Boone Central 1 0206001 Creighton 13 0254013 Elgin 18 0202018 Elkhorn Valley 80 0259080 Neligh-Oakdale 9 0202009 Plainview 5 0270005 Summerland 115 0202115 Arthur Arthur Co High 500 0303500 Banner Banner 1 0404001 Bayard 21 0462021 Potter-Dix 9 0417009 Blaine Anselmo-Merna 15 0521015 Loup Co 25 0558025 Sandhills 71 0505071 Sargent 84 0521084 Boone Boone Central 1 0606001 Central Valley 60 0639060 Elgin 18 0602018 Elkhorn Valley 80 0659080 Fullerton 1 0663001 Newman Grove 13 0659013 Riverside 75 0606075 St. Edward 17 0606017 Box Butte Alliance 6 0707006 Bayard 21 0762021 Bridgeport 63 0762063 Hemingford 10 0707010 Boyd Keya Paha Co High 100 0852100 Boyd County Sch 51 0808051 Brown Ainsworth 10 0909010 Keya Paha Co High 100 0952100 Rock Co High 100 0975100 Sandhills 71 0905071 Valentine High 6 0916006 Buffalo Amherst 119 1010119 Ansley 44 1021044 Centura 100 1047100 Elm Creek 9 1010009 Gibbon 2 1010002 Kearney 7 1010007 Pleasanton 105 1010105 Ravenna 69 1010069 Shelton 19 1010019 Sumner-Eddyville- Miller 101 1024101 Burt Bancroft-Rosalie 20 1120020 Logan View 594 1127594 Lyons-Decatur Northeast 20 1111020 Oakland-Craig 14 1111014 Tekamah-Herman 1 1111001 Butler Centennial 67R 1280567 Columbus 1 1271001 David City 56 1212056 East Butler 2R 1212502 Lakeview Community 5 1271005 Raymond Central 161 1255161 Schuyler Central High 123 1219123 Seward 9 1280009 Shelby-Rising City 32 1272032 Cass Ashland-Greenwood 1 1378001 Conestoga 56 1313056 Elmwood-Murdock 97 1313097 Louisville 32 1313032 Nebraska City 111 1366111 Plattsmouth 1 1313001 Syracuse-Dunbar- Avoca 27 1366027 Waverly 145 1355145 Weeping Water 22 1313022 Cedar Bloomfield 86R 1454586 Crofton 96 1454096 Hartington-Newcastle 8 1414008 Cedar (continued) Laurel-Concord- Coleridge 54 1414054 Randolph 45 1414045 Wausa 76R 1454576 Wynot 101 1414101 Chase Chase County Schools 10 1515010 Perkins County Schools 20 1568020 Wauneta-Palisade 536 1515536 Cherry Cody-Kilgore 30 1616030 Gordon-Rushville High Sch 10 1681010 Hyannis 11 1638011 Mullen 1 1646001 Thedford High 1 1686001 Valentine High 6 1616006 Cheyenne Creek Valley 25 1725025 Leyton 3 1717003 Potter-Dix 9 1717009 Sidney 1 1717001 Clay Adams Central High 90 1801090 Blue Hill 74 1891074 Davenport 47 1885047 Doniphan- Trumbull 126 1840126 Harvard 11 1818011 Lawrence/Nelson 5 1865005 Sandy Creek 1C 1818501 Shickley 54 1830054 Sutton 2 1818002 Colfax Clarkson 58 1919058 Howells-Dodge 70 1919070 Leigh 39 1919039 North Bend Central 595 1927595 Schuyler Central High 123 1919123 Cuming Bancroft-Rosalie 20 2020020 Howells-Dodge 70 2019070 Logan View 594 2027594 Lyons-Decatur Northeast 20 2011020 Oakland-Craig 14 2011014 Pender 1 2087001 High school district code information is required by law so the Nebraska Department of Education can determine state aid allocations to Nebraska’s K-12 school systems. Example: Matt and Jill live in Banner County and the Bayard 21 high school district. Banner Banner County 1 0404001 Bayard 21 0462021 Potter-Dix 9 0417009 They enter the following on their Form 1040N: High School District Code 0 4 6 2 0 2 1 County of Residence High School District 7-digit code for Form 1040N 7-digit code for Form 1040N 7-digit code for Form 1040N 7-digit code for Form 1040N 7-digit code for Form 1040N County of Residence High School District County of Residence High School District County of Residence High School District County of Residence High School District revenue.nebraska.gov 28 Cuming (continued) Scribner-Snyder 62 2027062 West Point 1 2020001 Wisner-Pilger 30 2020030 Custer Anselmo-Merna 15 2121015 Ansley 44 2121044 Arcadia 21 2188021 Arnold 89 2121089 Broken Bow 25 2121025 Callaway 180 2121180 Cozad 11 2124011 Gothenburg 20 2124020 Litchfield 15 2182015 Loup Co 25 2158025 Ord 5 2188005 Sandhills 71 2105071 Sargent 84 2121084 Sumner-Eddyville- Miller 101 2124101 Dakota Allen 70 2226070 Emerson-Hubbard 561 2226561 Homer 31 2222031 Ponca 1 2226001 So Sioux City 11 2222011 Dawes Chadron 2 2323002 Crawford 71 2323071 Hay Springs 3 2381003 Hemingford 10 2307010 Sioux Co High 500 2383500 Dawson Callaway 180 2421180 Cozad 11 2424011 Elm Creek 9 2410009 Elwood 30 2437030 Eustis-Farnam 95 2432095 Gothenburg 20 2424020 Lexington 1 2424001 Overton 4 2424004 Sumner-Eddyville- Miller 101 2424101 Deuel Creek Valley 25 2525025 South Platte 95 2525095 Dixon Allen 70 2626070 Emerson-Hubbard 561 2626561 Hartington-Newcastle 8 2614008

2021 Public High School District Codes (continued) 7-digit code for Form 1040N County of Residence High School District 7-digit code for Form 1040N 7-digit code for Form 1040N 7-digit code for Form 1040N County of Residence High School District County of Residence High School District County of Residence High School District Holt Boyd County Sch 51 4508051 Burwell High 100 4536100 Chambers 137 4545137 O’Neill 7 4545007 Stuart 44 4545044 Summerland 115 4502115 Verdigre 83R 4554583 West Holt Public Sch 239 4545239 Wheeler Central 45 4592045 Hooker Mullen 1 4646001 Howard Central Valley 60 4739060 Centura 100 4747100 Elba 103 4747103 Loup City 1 4782001 Northwest High 82 4740082 Palmer 49 4761049 St. Paul 1 4747001 Jefferson Diller-Odell 100 4834100 Fairbury 8 4848008 Meridian 303 4848303 Tri County 300 4848300 Johnson Freeman 34 4934034 Humboldt-Table Rock- Steinauer 70 4974070 Johnson-Brock 23 4964023 Johnson Co Central 50 4949050 Lewiston 69 4967069 Sterling 33 4949033 Syracuse-Dunbar- Avoca 27 4966027 Kearney Adams Central High 90 5001090 Axtell R1 5050501 Gibbon 2 5010002 Kearney 7 5010007 Kenesaw 3 5001003 Minden R3 5050503 Shelton 19 5010019 Silver Lake 123 5001123 Wilcox-Hildreth 1 5050001 Keith Arthur High Co 500 5103500 Garden Co High 1 5135001 Ogallala 1 5151001 Paxton 6 5151006 Perkins County Schools 20 5168020 South Platte 95 5125095 Keya Paha Keya Paha Co High 100 5252100 Kimball Kimball 1 5353001 Potter-Dix 9 5317009 Knox Bloomfield 86R 5454586 Boyd County Sch 51 5408051 Creighton 13 5454013 Crofton 96 5454096 Niobrara 1R 5454501 Osmond 42R 5470542 Plainview 5 5470005 Santee C5 5454505 Summerland 115 5402115 Verdigre 83R 5454583 Wausa 76R 5454576 Dixon (continued) Laurel-Concord- Coleridge 54 2614054 Ponca 1 2626001 Wakefield 60R 2690560 Wayne 17 2690017 Wynot 101 2614101 Dodge Arlington 24 2789024 Howells-Dodge 70 2719070 Fremont 1 2727001 Logan View 594 2727594 North Bend Central 595 2727595 Oakland-Craig 14 2711014 Scribner-Snyder 62 2727062 West Point 1 2720001 Douglas Omaha 1 2828001 Arlington 24 2889024 Bennington 59 2828059 Douglas Co West Community 15 2828015 Elkhorn 10 2828010 Fremont 1 2827001 Fort Calhoun 3 2889003 Gretna 37 2877037 Millard 17 2828017 Ralston 54 2828054 Westside 66 2828066 Dundy Chase County Schools 10 2915010 Dundy Co 117 2929117 Wauneta-Palisade 536 2915536 Fillmore Bruning 94 3085094 Davenport 47 3085047 Exeter-Milligan 1 3030001 Fillmore Central 25 3030025 Friend 68 3076068 Heartland 96 3093096 McCool Junction 83 3093083 Meridian 303 3048303 Shickley 54 3030054 Sutton 2 3018002 Franklin Alma 2 3142002 Franklin R6 3131506 Minden R3 3150503 Red Cloud 2 3191002 Silver Lake 123 3101123 Wilcox-Hildreth 1 3150001 Frontier Arapahoe 18 3233018 Cambridge 21 3233021 Elwood 30 3237030 Eustis-Farnam 95 3232095 Hayes Center 79 3243079 Maywood 46 3232046 McCook 17 3273017 Medicine Valley 125 3232125 Southwest 179 3273179 Furnas Alma 2 3342002 Arapahoe 18 3333018 Cambridge 21 3333021 Southern Valley 540 3333540 Southwest 179 3373179 Gage Beatrice 15 3434015 Crete 2 3476002 Freeman 34 3434034 Diller-Odell 100 3434100 Lewiston 69 3467069 Gage (continued) Norris 160 3455160 Southern 1 3434001 Tri County 300 3448300 Wilber-Clatonia 82 3476082 Garden Creek Valley 25 3525025 Garden Co High 1 3535001 South Platte 95 3525095 Garfield Burwell High 100 3636100 Chambers 137 3645137 Ord 5 3688005 Wheeler Central 45 3692045 Gosper Arapahoe 18 3733018 Bertrand 54 3769054 Cambridge 21 3733021 Elwood 30 3737030 Eustis-Farnam 95 3732095 Lexington 1 3724001 Southern Valley 540 3733540 Grant Hyannis 11 3838011 Greeley Central Valley 60 3939060 Ord 5 3988005 Riverside 75 3906075 St. Paul 1 3947001 Wheeler Central 45 3992045 Hall Adams Central High 90 4001090 Aurora 4R 4041504 Centura 100 4047100 Doniphan- Trumbull 126 4040126 Grand Island 2 4040002 Kenesaw 3 4001003 Northwest High 82 4040082 Shelton 19 4010019 Wood River High 83 4040083 Hamilton Aurora 504 4141504 Central City 4 4161004 Doniphan-Trumbull 126 4140126 Giltner 2 4141002 Hampton 91 4141091 Harvard 11 4118011 Heartland 96 4193096 High Plains Community 75 4172075 Sutton 2 4118002 Harlan Alma 2 4242002 Franklin R6 4231506 Holdrege 44 4269044 Loomis 55 4269055 Southern Valley 540 4233540 Wilcox-Hildreth 1 4250001 Hayes Dundy Co 117 4329117 Hayes Center 79 4343079 Maywood 46 4332046 McCook 17 4373017 Wallace 65R 4356565 Wauneta-Palisade 536 4315536 Hitchcock Dundy Co 117 4429117 Hayes Center 79 4443079 Hitchcock County Schools 70 4444070 McCook 17 4473017 Wauneta-Palisade 536 4415536 29 revenue.nebraska.gov Lancaster Lincoln 1 5555001 Crete 2 5576002 Freeman 34 5534034 Malcolm 148 5555148 Milford 5 5580005 Norris 160 5555160 Palmyra OR1 5566501 Raymond Central 161 5555161 Waverly 145 5555145 Wilber-Clatonia 82 5576082 Lincoln Arnold 89 5621089 Brady 6 5656006 Eustis-Farnam 95 5632095 Gothenburg 20 5624020 Hershey 37 5656037 Maxwell 7 5656007 Maywood 46 5632046 McPherson Co High 90 5660090 Medicine Valley 125 5632125 North Platte 1 5656001 Paxton 6 5651006 Perkins County Schools 20 5668020 Stapleton R1 5657501 Sutherland 55 5656055 Wallace 65R 5656565 Logan Arnold 89 5721089 Sandhills 71 5705071 Stapleton R1 5757501 Loup Loup Co 25 5858025 Sandhills 71 5805071 Sargent 84 5821084 Madison Battle Creek 5 5959005 Elkhorn Valley 80 5959080 Humphrey 67 5971067 Madison 1 5959001 Newman Grove 13 5959013 Norfolk 2 5959002 McPherson Arthur Co High 500 6003500 McPherson Co High 90 6060090 Stapleton R1 6057501 Merrick Central City 4 6161004 Fullerton 1 6163001 Grand Island 2 6140002 High Plains Community 75 6172075 Northwest High 82 6140082 Palmer 49 6161049 Twin River 30 6163030 Morrill Alliance 6 6207006 Banner 1 6204001 Bayard 21 6262021 Bridgeport 63 6262063 Garden Co High 1 6235001 Leyton 3 6217003 Scottsbluff 32 6279032 Nance Central Valley 60 6339060 Fullerton 1 6363001 High Plains Community 75 6372075 Palmer 49 6361049 Riverside 75 6306075 St. Edward 17 6306017 Twin River 30 6363030

2021 Public High School District Codes (continued) 7-digit code for Form 1040N County of Residence High School District 7-digit code for Form 1040N 7-digit code for Form 1040N 7-digit code for Form 1040N County of Residence High School District County of Residence High School District County of Residence High School District Thomas Mullen 1 8646001 Sandhills 71 8605071 Thedford High 1 8686001 Thurston Bancroft-Rosalie 20 8720020 Emerson-Hubbard 561 8726561 Homer 31 8722031 Lyons-Decatur Northeast 20 8711020 Pender 1 8787001 Umo N Ho Nation Sch 16 8787016 Wakefield 60R 8790560 Walthill 13 8787013 Winnebago 17 8787017 Valley Arcadia 21 8888021 Burwell High 100 8836100 Central Valley 60 8839060 Loup City 1 8882001 Ord 5 8888005 Washington Arlington 24 8989024 Bennington 59 8928059 Blair 1 8989001 Fort Calhoun 3 8989003 Logan View 594 8927594 Tekamah-Herman 1 8911001 Wayne Laurel-Concord- Coleridge 54 9014054 Norfolk 2 9059002 Pender 1 9087001 Pierce 2 9070002 Randolph 45 9014045 Wakefield 60R 9090560 Wayne 17 9090017 Winside 595 9090595 Wisner-Pilger 30 9020030 Webster Adams Central High 90 9101090 Blue Hill 74 9191074 Lawrence/Nelson 5 9165005 Red Cloud 2 9191002 Silver Lake 123 9101123 Superior 11 9165011 Wheeler Chambers 137 9245137 Elgin 18 9202018 Riverside 75 9206075 Summerland 115 9202115 Wheeler Central 45 9292045 York Centennial 67R 9380567 Cross County 15 9372015 Exeter-Milligan 1 9330001 Hampton 91 9341091 Heartland 96 9393096 High Plains Community 75 9372075 McCool Junction 83 9393083 Sutton 2 9318002 York 12 9393012 Saunders (continued) Waverly 145 7855145 Yutan 9 7878009 Scotts Bluff Banner 1 7904001 Bayard 21 7962021 Gering 16 7979016 Minatare 2 7979002 Mitchell 31 7979031 Morrill 11 7979011 Scottsbluff 32 7979032 Seward Centennial 67R 8080567 Crete 2 8076002 David City 56 8012056 Dorchester 44 8076044 East Butler 2R 8012502 Exeter-Milligan 1 8030001 Friend 68 8076068 Malcolm 148 8055148 Milford 5 8080005 Raymond Central 161 8055161 Seward 9 8080009 Sheridan Alliance 6 8107006 Chadron 2 8123002 Hyannis 11 8138011 Gordon- Rushville High 10 8181010 Hay Springs 3 8181003 Hemingford 10 8107010 Sherman Arcadia 21 8288021 Central Valley 60 8239060 Centura 100 8247100 Elba 103 8247103 Litchfield 15 8282015 Loup City 1 8282001 Pleasanton 105 8210105 Ravenna 69 8210069 Sioux Crawford 71 8323071 Mitchell 31 8379031 Morrill 11 8379011 Sioux Co High 500 8383500 Stanton Clarkson 58 8419058 Howells-Dodge 70 8419070 Leigh 39 8419039 Madison 1 8459001 Norfolk 2 8459002 Stanton 3 8484003 Winside 595 8490595 Wisner-Pilger 30 8420030 Thayer Bruning 94 8585094 Davenport 47 8585047 Deshler 60 8585060 Fairbury 8 8548008 Meridian 303 8548303 Shickley 54 8530054 Superior 11 8565011 Thayer Central Comm 70 8585070 Platte Clarkson 58 7119058 Columbus 1 7171001 David City 56 7112056 Humphrey 67 7171067 Lakeview Community 5 7171005 Leigh 39 7119039 Madison 1 7159001 Newman Grove 13 7159013 St. Edward 17 7106017 Twin River 30 7163030 Polk Centennial 67R 7280567 Columbus 1 7271001 Cross County 15 7272015 High Plains Community 75 7272075 Osceola 19 7272019 Shelby-Rising City 32 7272032 Twin River 30 7263030 Red Willow Cambridge 21 7333021 Hitchcock County Schools 70 7344070 McCook 17 7373017 Southwest 179 7373179 Richardson Auburn 29 7464029 Falls City 56 7474056 Humboldt-Table Rock- Steinauer 70 7474070 Johnson-Brock 23 7464023 Pawnee City 1 7467001 Rock Ainsworth 10 7509010 Rock Co High 100 7575100 Saline Crete 2 7676002 Dorchester 44 7676044 Exeter-Milligan 1 7630001 Friend 68 7676068 Meridian 303 7648303 Milford 5 7680005 Tri County 300 7648300 Wilber-Clatonia 82 7676082 Sarpy Ashland-Greenwood 1 7778001 Bellevue 1 7777001 Gretna 37 7777037 Louisville 32 7713032 Millard 17 7728017 Omaha 1 7728001 Papillion-LaVista 27 7777027 Springfield Platteview 46 7777046 Saunders Ashland-Greenwood 1 7878001 Cedar Bluffs 107 7878107 David City 56 7812056 East Butler 2R 7812502 Fremont 1 7827001 Mead 72 7878072 North Bend Central 595 7827595 Raymond Central 161 7855161 Schuyler Central High 123 7819123 Wahoo 39 7878039 Nemaha Auburn 29 6464029 Falls City 56 6474056 Humboldt-Table Rock- Steinauer 70 6474070 Johnson-Brock 23 6464023 Johnson Co Central 50 6449050 Nebraska City 111 6466111 Nuckolls Davenport 47 6585047 Deshler 60 6585060 Lawrence/Nelson 5 6565005 Sandy Creek 1C 6518501 Superior 11 6565011 Thayer Central Comm 70 6585070 Otoe Conestoga 56 6613056 Freeman 34 6634034 Elmwood-Murdock 97 6613097 Johnson-Brock 23 6664023 Johnson Co Central 50 6649050 Nebraska City 111 6666111 Norris 160 6655160 Palmyra OR1 6666501 Sterling 33 6649033 Syracuse-Dunbar- Avoca 27 6666027 Waverly 145 6655145 Pawnee Diller-Odell 100 6734100 Humboldt-Table Rock- Steinauer 70 6774070 Johnson-Brock 23 6764023 Johnson Co Central 50 6749050 Lewiston 69 6767069 Pawnee City 1 6767001 Southern 1 6734001 Perkins Hayes Center 79 6843079 Ogallala 1 6851001 Paxton 6 6851006 Perkins County Schools 20 6868020 South Platte 95 6825095 Wallace 65R 6856565 Phelps Axtell R1 6950501 Bertrand 54 6969054 Elm Creek 9 6910009 Holdrege 44 6969044 Kearney 7 6910007 Loomis 55 6969055 Overton 4 6924004 Wilcox-Hildreth 1 6950001 Pierce Battle Creek 5 7059005 Creighton 13 7054013 Elkhorn Valley 80 7059080 Neligh-Oakdale 9 7002009 Norfolk 2 7059002 Osmond 42R 7070542 Pierce 2 7070002 Plainview 5 7070005 Randolph 45 7014045 Wausa 76R 7054576 revenue.nebraska.gov 30

60 160 3 3 3 3 160 260 5 5 5 5 260 360 8 8 8 8 360 460 10 10 10 10 460 560 13 13 13 13 560 660 15 15 15 15 660 760 17 17 17 17 760 860 20 20 20 20 860 960 22 22 22 22 960 1,060 25 25 25 25 1,060 1,160 27 27 27 27 1,160 1,260 30 30 30 30 1,260 1,360 32 32 32 32 1,360 1,460 35 35 35 35 1,460 1,560 37 37 37 37 1,560 1,660 40 40 40 40 1,660 1,760 42 42 42 42 1,760 1,860 45 45 45 45 1,860 1,960 47 47 47 47 1,960 2,060 49 49 49 49 2,060 2,160 52 52 52 52 2,160 2,260 54 54 54 54 2,260 2,360 57 57 57 57 2,360 2,460 59 59 59 59 2,460 2,560 62 62 62 62 2,560 2,660 64 64 64 64 2,660 2,760 67 67 67 67 2,760 2,860 69 69 69 69 2,860 2,960 72 72 72 72 2,960 3,060 74 74 74 74 3,060 3,160 77 77 77 77 3,160 3,260 79 79 79 79 3,260 3,360 81 81 81 81 3,360 3,460 85 84 85 84 3,460 3,560 88 86 88 86 3,560 3,660 92 89 92 89 3,660 3,760 95 91 95 91 3,760 3,860 99 94 99 94 3,860 3,960 102 96 102 96 3,960 4,060 106 99 106 99 4,060 4,160 109 101 109 101 4,160 4,260 113 104 113 104 4,260 4,360 116 106 116 106 4,360 4,460 120 108 120 108 4,460 4,560 123 111 123 111 4,560 4,660 127 113 127 113 4,660 4,760 130 116 130 116 4,760 4,860 134 118 134 118 4,860 4,960 137 121 137 121 4,960 5,060 141 123 141 123 5,060 5,160 144 126 144 126 5,160 5,260 148 128 148 128 5,260 5,360 151 131 151 131 5,360 5,460 155 133 155 133 5,460 5,560 158 136 158 136 5,560 5,660 162 138 162 138 5,660 5,760 165 140 165 140 5,760 5,860 169 143 169 143 5,860 5,960 172 145 172 145 5,960 6,060 176 148 176 148 6,060 6,160 179 150 179 150 6,160 6,260 183 153 183 153 6,260 6,360 186 155 186 156 Use your Nebraska taxable income found on line 14, Form 1040N. Only taxpayers filing paper returns may use the Nebraska Tax Table. If your Nebraska taxable income is more than the highest amount in the tax table, see instructions at the end of the table. Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold If Nebraska taxable income is — Your Nebraska tax is — And you are — If Nebraska taxable income is — And you are — If Nebraska taxable income is — And you are — 60 6,360 12,660 *A qualifying widow(er) must also use this column. Continued on next page 6,360 6,460 190 158 190 160 6,460 6,560 193 160 193 163 6,560 6,660 197 163 197 167 6,660 6,760 200 166 200 170 6,760 6,860 204 169 204 174 6,860 6,960 207 173 207 177 6,960 7,060 211 176 211 181 7,060 7,160 214 180 214 184 7,160 7,260 218 183 218 188 7,260 7,360 222 187 222 191 7,360 7,460 225 190 225 195 7,460 7,560 229 194 229 198 7,560 7,660 232 197 232 202 7,660 7,760 236 201 236 205 7,760 7,860 239 204 239 209 7,860 7,960 243 208 243 212 7,960 8,060 246 211 246 216 8,060 8,160 250 215 250 219 8,160 8,260 253 218 253 223 8,260 8,360 257 222 257 226 8,360 8,460 260 225 260 230 8,460 8,560 264 229 264 233 8,560 8,660 267 232 267 237 8,660 8,760 271 236 271 240 8,760 8,860 274 239 274 244 8,860 8,960 278 243 278 247 8,960 9,060 281 246 281 251

9,060 9,160 285 250 285 254 9,160 9,260 288 253 288 258 9,260 9,360 292 257 292 261 9,360 9,460 295 260 295 265 9,460 9,560 299 264 299 268 9,560 9,660 302 267 302 272 9,660 9,760 306 271 306 276 9,760 9,860 309 274 309 279 9,860 9,960 313 278 313 283 9,960 10,060 316 281 316 286 10,060 10,160 320 285 320 290 10,160 10,260 323 288 323 293 10,260 10,360 327 292 327 297 10,360 10,460 330 295 330 300 10,460 10,560 334 299 334 304 10,560 10,660 337 302 337 307 10,660 10,760 341 306 341 311 10,760 10,860 344 310 344 314 10,860 10,960 348 313 348 318 10,960 11,060 351 317 351 321 11,060 11,160 355 320 355 325 11,160 11,260 358 324 358 328 11,260 11,360 362 327 362 332 11,360 11,460 365 331 365 335 11,460 11,560 369 334 369 339 11,560 11,660 372 338 372 342 11,660 11,760 376 341 376 346 11,760 11,860 379 345 379 349 11,860 11,960 383 348 383 353 11,960 12,060 386 352 386 356 12,060 12,160 390 355 390 360 12,160 12,260 394 359 394 363 12,260 12,360 397 362 397 367 12,360 12,460 401 366 401 370 12,460 12,560 404 369 404 374 12,560 12,660 408 373 408 377 12,660 12,760 411 376 411 381 12,760 12,860 415 380 415 384 12,860 12,960 418 383 418 388 12,960 13,060 422 387 422 391 13,060 13,160 425 390 425 395 13,160 13,260 429 394 429 398 13,260 13,360 432 397 432 402 13,360 13,460 436 401 436 405 13,460 13,560 439 404 439 409 13,560 13,660 443 408 443 412 13,660 13,760 446 411 446 416 13,760 13,860 450 415 450 419 13,860 13,960 453 418 453 423 13,960 14,060 457 422 457 426 14,060 14,160 460 425 460 430 14,160 14,260 464 429 464 433 14,260 14,360 467 432 467 437 14,360 14,460 471 436 471 440 14,460 14,560 474 439 474 444 14,560 14,660 478 443 478 448 14,660 14,760 481 446 481 451 14,760 14,860 485 450 485 455 14,860 14,960 488 453 488 458 14,960 15,060 492 457 492 462 15,060 15,160 495 460 495 465 15,160 15,260 499 464 499 469 15,260 15,360 502 467 502 472

15,360 15,460 506 471 506 476 15,460 15,560 509 474 509 479 15,560 15,660 513 478 513 483 15,660 15,760 516 481 516 486 15,760 15,860 520 485 520 490 15,860 15,960 523 489 523 493 15,960 16,060 527 492 527 497 16,060 16,160 530 496 530 500 16,160 16,260 534 499 534 504 16,260 16,360 537 503 537 507 16,360 16,460 541 506 541 511 16,460 16,560 544 510 544 514 16,560 16,660 548 513 548 518 16,660 16,760 551 517 551 521 16,760 16,860 555 520 555 525 16,860 16,960 558 524 558 528 16,960 17,060 562 527 562 532 17,060 17,160 565 531 565 535 17,160 17,260 569 534 569 539 17,260 17,360 573 538 573 542 17,360 17,460 576 541 576 546 17,460 17,560 580 545 580 549 17,560 17,660 583 548 583 553 17,660 17,760 587 552 587 556 17,760 17,860 590 555 590 560 17,860 17,960 594 559 594 563 17,960 18,060 597 562 597 567 18,060 18,160 601 566 601 570 18,160 18,260 604 569 604 574 18,260 18,360 608 573 608 577 18,360 18,460 611 576 611 581 18,460 18,560 615 580 615 584 18,560 18,660 618 583 618 588 18,660 18,760 622 587 622 591 18,760 18,860 625 590 625 595 18,860 18,960 629 594 629 598 revenue.nebraska.gov 31 Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — 2021 Nebraska Tax Table 2,760 9,060 15,360

2021 Nebraska Tax Table — continued If Nebraska taxable income is — And you are — If Nebraska taxable income is — And you are — If Nebraska taxable income is — And you are — *A qualifying widow(er) must also use this column. Continued on next page Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — 25,760 25,860 958 836 958 841 25,860 25,960 963 840 963 844 25,960 26,060 968 843 968 848 26,060 26,160 973 847 973 851 26,160 26,260 978 850 978 855 26,260 26,360 983 854 983 858 26,360 26,460 988 857 988 862 26,460 26,560 993 861 993 865 26,560 26,660 998 864 998 869 26,660 26,760 1,003 868 1,003 872 26,760 26,860 1,008 871 1,008 876 26,860 26,960 1,013 875 1,013 879 26,960 27,060 1,018 878 1,018 883 27,060 27,160 1,023 882 1,023 886 27,160 27,260 1,028 885 1,028 890 27,260 27,360 1,033 889 1,033 893 27,360 27,460 1,038 892 1,038 897 27,460 27,560 1,043 896 1,043 900 27,560 27,660 1,048 899 1,048 904 27,660 27,760 1,053 903 1,053 907 27,760 27,860 1,058 906 1,058 911 27,860 27,960 1,063 910 1,063 914 27,960 28,060 1,068 913 1,068 918 28,060 28,160 1,073 917 1,073 921 28,160 28,260 1,078 920 1,078 925 28,260 28,360 1,083 924 1,083 928 28,360 28,460 1,088 927 1,088 932 28,460 28,560 1,093 931 1,093 935 28,560 28,660 1,098 934 1,098 939 28,660 28,760 1,103 938 1,103 942 28,760 28,860 1,108 941 1,108 946

28,860 28,960 1,113 945 1,113 949 28,960 29,060 1,118 948 1,118 953 29,060 29,160 1,123 952 1,123 956 29,160 29,260 1,129 955 1,129 960 29,260 29,360 1,134 959 1,134 963 29,360 29,460 1,139 962 1,139 967 29,460 29,560 1,144 966 1,144 970 29,560 29,660 1,149 969 1,149 974 29,660 29,760 1,154 973 1,154 978 29,760 29,860 1,159 976 1,159 981 29,860 29,960 1,164 980 1,164 985 29,960 30,060 1,169 983 1,169 988 30,060 30,160 1,174 987 1,174 992 30,160 30,260 1,179 990 1,179 995 30,260 30,360 1,184 994 1,184 999 30,360 30,460 1,189 997 1,189 1,002 30,460 30,560 1,194 1,001 1,194 1,006 30,560 30,660 1,199 1,004 1,199 1,009 30,660 30,760 1,204 1,008 1,204 1,013 30,760 30,860 1,209 1,012 1,209 1,016 30,860 30,960 1,214 1,015 1,214 1,020 30,960 31,060 1,219 1,019 1,219 1,023 31,060 31,160 1,224 1,022 1,224 1,027 31,160 31,260 1,229 1,026 1,229 1,030 31,260 31,360 1,234 1,029 1,234 1,034 31,360 31,460 1,239 1,033 1,239 1,037 31,460 31,560 1,244 1,036 1,244 1,041 31,560 31,660 1,249 1,040 1,249 1,044 31,660 31,760 1,254 1,043 1,254 1,048 31,760 31,860 1,259 1,047 1,259 1,051 31,860 31,960 1,264 1,050 1,264 1,055 31,960 32,060 1,269 1,054 1,269 1,059 32,060 32,160 1,274 1,057 1,274 1,064 32,160 32,260 1,279 1,061 1,279 1,069 32,260 32,360 1,286 1,064 1,286 1,074 32,360 32,460 1,292 1,068 1,292 1,079 32,460 32,560 1,299 1,071 1,299 1,084 32,560 32,660 1,306 1,075 1,306 1,089 32,660 32,760 1,313 1,078 1,313 1,094 32,760 32,860 1,320 1,082 1,320 1,099 32,860 32,960 1,327 1,085 1,327 1,104 32,960 33,060 1,334 1,089 1,334 1,109 33,060 33,160 1,340 1,092 1,340 1,114 33,160 33,260 1,347 1,096 1,347 1,119 33,260 33,360 1,354 1,099 1,354 1,124 33,360 33,460 1,361 1,103 1,361 1,129 33,460 33,560 1,368 1,106 1,368 1,134 33,560 33,660 1,375 1,110 1,375 1,139 33,660 33,760 1,381 1,113 1,381 1,144 33,760 33,860 1,388 1,117 1,388 1,149 33,860 33,960 1,395 1,120 1,395 1,154 33,960 34,060 1,402 1,124 1,402 1,159 34,060 34,160 1,409 1,127 1,409 1,164 34,160 34,260 1,416 1,131 1,416 1,169 34,260 34,360 1,422 1,134 1,422 1,174 34,360 34,460 1,429 1,138 1,429 1,179 34,460 34,560 1,436 1,141 1,436 1,184 34,560 34,660 1,443 1,145 1,443 1,189 34,660 34,760 1,450 1,148 1,450 1,194 34,760 34,860 1,457 1,152 1,457 1,199 34,860 34,960 1,463 1,155 1,463 1,204 34,960 35,060 1,470 1,159 1,470 1,209 35,060 35,160 1,477 1,162 1,477 1,214 35,160 35,260 1,484 1,166 1,484 1,219 35,260 35,360 1,491 1,169 1,491 1,224 35,360 35,460 1,498 1,173 1,498 1,229 35,460 35,560 1,505 1,176 1,505 1,234 35,560 35,660 1,511 1,180 1,511 1,239

35,660 35,760 1,518 1,183 1,518 1,244 35,760 35,860 1,525 1,187 1,525 1,249 35,860 35,960 1,532 1,191 1,532 1,254 35,960 36,060 1,539 1,194 1,539 1,259 36,060 36,160 1,546 1,198 1,546 1,264 36,160 36,260 1,552 1,201 1,552 1,269 36,260 36,360 1,559 1,205 1,559 1,274 36,360 36,460 1,566 1,208 1,566 1,279 36,460 36,560 1,573 1,212 1,573 1,284 36,560 36,660 1,580 1,215 1,580 1,289 36,660 36,760 1,587 1,219 1,587 1,294 36,760 36,860 1,593 1,222 1,593 1,299 36,860 36,960 1,600 1,226 1,600 1,304 36,960 37,060 1,607 1,229 1,607 1,309 37,060 37,160 1,614 1,233 1,614 1,314 37,160 37,260 1,621 1,236 1,621 1,319 37,260 37,360 1,628 1,240 1,628 1,324 37,360 37,460 1,634 1,243 1,634 1,329 37,460 37,560 1,641 1,247 1,641 1,334 37,560 37,660 1,648 1,250 1,648 1,339 37,660 37,760 1,655 1,254 1,655 1,344 37,760 37,860 1,662 1,257 1,662 1,349 37,860 37,960 1,669 1,261 1,669 1,354 37,960 38,060 1,676 1,264 1,676 1,359 38,060 38,160 1,682 1,268 1,682 1,364 38,160 38,260 1,689 1,271 1,689 1,369 38,260 38,360 1,696 1,275 1,696 1,374 38,360 38,460 1,703 1,278 1,703 1,379 38,460 38,560 1,710 1,282 1,710 1,384 38,560 38,660 1,717 1,285 1,717 1,389 38,660 38,760 1,723 1,289 1,723 1,394 38,760 38,860 1,730 1,292 1,730 1,399 38,860 38,960 1,737 1,296 1,737 1,404 38,960 39,060 1,744 1,299 1,744 1,409 39,060 39,160 1,751 1,303 1,751 1,414 39,160 39,260 1,758 1,306 1,758 1,419 39,260 39,360 1,764 1,310 1,764 1,424 32,560 25,760 18,960 32 revenue.nebraska.gov 22,060 28,860 35,660 18,960 19,060 632 597 632 602 19,060 19,160 636 601 636 605 19,160 19,260 639 604 639 609 19,260 19,360 643 608 643 612 19,360 19,460 646 611 646 616 19,460 19,560 650 615 650 619 19,560 19,660 653 618 653 623 19,660 19,760 657 622 657 627 19,760 19,860 660 625 660 630 19,860 19,960 664 629 664 634 19,960 20,060 668 632 668 637 20,060 20,160 673 636 673 641 20,160 20,260 678 639 678 644 20,260 20,360 683 643 683 648 20,360 20,460 688 646 688 651 20,460 20,560 693 650 693 655 20,560 20,660 698 653 698 658 20,660 20,760 703 657 703 662 20,760 20,860 708 661 708 665 20,860 20,960 713 664 713 669 20,960 21,060 718 668 718 672 21,060 21,160 723 671 723 676 21,160 21,260 728 675 728 679 21,260 21,360 733 678 733 683 21,360 21,460 738 682 738 686 21,460 21,560 743 685 743 690 21,560 21,660 748 689 748 693 21,660 21,760 753 692 753 697 21,760 21,860 758 696 758 700 21,860 21,960 763 699 763 704 21,960 22,060 768 703 768 707

22,060 22,160 773 706 773 711 22,160 22,260 778 710 778 714 22,260 22,360 783 713 783 718 22,360 22,460 788 717 788 721 22,460 22,560 793 720 793 725 22,560 22,660 798 724 798 728 22,660 22,760 803 727 803 732 22,760 22,860 808 731 808 735 22,860 22,960 813 734 813 739 22,960 23,060 818 738 818 742 23,060 23,160 823 741 823 746 23,160 23,260 828 745 828 749 23,260 23,360 833 748 833 753 23,360 23,460 838 752 838 756 23,460 23,560 843 755 843 760 23,560 23,660 848 759 848 763 23,660 23,760 853 762 853 767 23,760 23,860 858 766 858 770 23,860 23,960 863 769 863 774 23,960 24,060 868 773 868 777 24,060 24,160 873 776 873 781 24,160 24,260 878 780 878 784 24,260 24,360 883 783 883 788 24,360 24,460 888 787 888 791 24,460 24,560 893 790 893 795 24,560 24,660 898 794 898 799 24,660 24,760 903 797 903 802 24,760 24,860 908 801 908 806 24,860 24,960 913 804 913 809 24,960 25,060 918 808 918 813 25,060 25,160 923 811 923 816 25,160 25,260 928 815 928 820 25,260 25,360 933 818 933 823 25,360 25,460 938 822 938 827 25,460 25,560 943 825 943 830 25,560 25,660 948 829 948 834 25,660 25,760 953 832 953 837

2021 Nebraska Tax Table — continued If Nebraska taxable income is — And you are — If Nebraska taxable income is — And you are — If Nebraska taxable income is — And you are — *A qualifying widow(er) must also use this column. Continued on next page Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — 33 revenue.nebraska.gov 46,160 46,260 2,236 1,645 2,236 1,770 46,260 46,360 2,243 1,650 2,243 1,775 46,360 46,460 2,250 1,655 2,250 1,780 46,460 46,560 2,257 1,660 2,257 1,785 46,560 46,660 2,264 1,665 2,264 1,790 46,660 46,760 2,271 1,670 2,271 1,795 46,760 46,860 2,277 1,675 2,277 1,800 46,860 46,960 2,284 1,680 2,284 1,805 46,960 47,060 2,291 1,685 2,291 1,810 47,060 47,160 2,298 1,690 2,298 1,815 47,160 47,260 2,305 1,695 2,305 1,820 47,260 47,360 2,312 1,700 2,312 1,825 47,360 47,460 2,318 1,705 2,318 1,830 47,460 47,560 2,325 1,710 2,325 1,835 47,560 47,660 2,332 1,715 2,332 1,840 47,660 47,760 2,339 1,720 2,339 1,845 47,760 47,860 2,346 1,726 2,346 1,851 47,860 47,960 2,353 1,731 2,353 1,858 47,960 48,060 2,360 1,736 2,360 1,865 48,060 48,160 2,366 1,741 2,366 1,872 48,160 48,260 2,373 1,746 2,373 1,878 48,260 48,360 2,380 1,751 2,380 1,885 48,360 48,460 2,387 1,756 2,387 1,892 48,460 48,560 2,394 1,761 2,394 1,899 48,560 48,660 2,401 1,766 2,401 1,906 48,660 48,760 2,407 1,771 2,407 1,913 48,760 48,860 2,414 1,776 2,414 1,919 48,860 48,960 2,421 1,781 2,421 1,926 48,960 49,060 2,428 1,786 2,428 1,933 49,060 49,160 2,435 1,791 2,435 1,940 49,160 49,260 2,442 1,796 2,442 1,947

49,260 49,360 2,448 1,801 2,448 1,954 49,360 49,460 2,455 1,806 2,455 1,960 49,460 49,560 2,462 1,811 2,462 1,967 49,560 49,660 2,469 1,816 2,469 1,974 49,660 49,760 2,476 1,821 2,476 1,981 49,760 49,860 2,483 1,826 2,483 1,988 49,860 49,960 2,489 1,831 2,489 1,995 49,960 50,060 2,496 1,836 2,496 2,002 50,060 50,160 2,503 1,841 2,503 2,008 50,160 50,260 2,510 1,846 2,510 2,015 50,260 50,360 2,517 1,851 2,517 2,022 50,360 50,460 2,524 1,856 2,524 2,029 50,460 50,560 2,531 1,861 2,531 2,036 50,560 50,660 2,537 1,866 2,537 2,043 50,660 50,760 2,544 1,871 2,544 2,049 50,760 50,860 2,551 1,876 2,551 2,056 50,860 50,960 2,558 1,881 2,558 2,063 50,960 51,060 2,565 1,886 2,565 2,070 51,060 51,160 2,572 1,891 2,572 2,077 51,160 51,260 2,578 1,896 2,578 2,084 51,260 51,360 2,585 1,901 2,585 2,090 51,360 51,460 2,592 1,906 2,592 2,097 51,460 51,560 2,599 1,911 2,599 2,104 51,560 51,660 2,606 1,916 2,606 2,111 51,660 51,760 2,613 1,921 2,613 2,118 51,760 51,860 2,619 1,926 2,619 2,125 51,860 51,960 2,626 1,931 2,626 2,131 51,960 52,060 2,633 1,936 2,633 2,138 52,060 52,160 2,640 1,941 2,640 2,145 52,160 52,260 2,647 1,946 2,647 2,152 52,260 52,360 2,654 1,951 2,654 2,159 52,360 52,460 2,660 1,956 2,660 2,166 52,460 52,560 2,667 1,961 2,667 2,173 52,560 52,660 2,674 1,966 2,674 2,179 52,660 52,760 2,681 1,971 2,681 2,186 52,760 52,860 2,688 1,976 2,688 2,193 52,860 52,960 2,695 1,981 2,695 2,200 52,960 53,060 2,702 1,986 2,702 2,207 53,060 53,160 2,708 1,991 2,708 2,214 53,160 53,260 2,715 1,996 2,715 2,220 53,260 53,360 2,722 2,001 2,722 2,227 53,360 53,460 2,729 2,006 2,729 2,234 53,460 53,560 2,736 2,011 2,736 2,241 53,560 53,660 2,743 2,016 2,743 2,248 53,660 53,760 2,749 2,021 2,749 2,255 53,760 53,860 2,756 2,026 2,756 2,261 53,860 53,960 2,763 2,031 2,763 2,268 53,960 54,060 2,770 2,036 2,770 2,275 54,060 54,160 2,777 2,041 2,777 2,282 54,160 54,260 2,784 2,046 2,784 2,289 54,260 54,360 2,790 2,051 2,790 2,296 54,360 54,460 2,797 2,056 2,797 2,302 54,460 54,560 2,804 2,061 2,804 2,309 54,560 54,660 2,811 2,066 2,811 2,316 54,660 54,760 2,818 2,071 2,818 2,323 54,760 54,860 2,825 2,076 2,825 2,330 54,860 54,960 2,831 2,081 2,831 2,337 54,960 55,060 2,838 2,086 2,838 2,344 55,060 55,160 2,845 2,091 2,845 2,350 55,160 55,260 2,852 2,096 2,852 2,357 55,260 55,360 2,859 2,101 2,859 2,364 55,360 55,460 2,866 2,106 2,866 2,371 55,460 55,560 2,873 2,111 2,873 2,378 55,560 55,660 2,879 2,116 2,879 2,385 55,660 55,760 2,886 2,121 2,886 2,391 55,760 55,860 2,893 2,126 2,893 2,398 55,860 55,960 2,900 2,131 2,900 2,405 55,960 56,060 2,907 2,136 2,907 2,412

56,060 56,160 2,914 2,141 2,914 2,419 56,160 56,260 2,920 2,146 2,920 2,426 56,260 56,360 2,927 2,151 2,927 2,432 56,360 56,460 2,934 2,156 2,934 2,439 56,460 56,560 2,941 2,161 2,941 2,446 56,560 56,660 2,948 2,166 2,948 2,453 56,660 56,760 2,955 2,171 2,955 2,460 56,760 56,860 2,961 2,176 2,961 2,467 56,860 56,960 2,968 2,181 2,968 2,473 56,960 57,060 2,975 2,186 2,975 2,480 57,060 57,160 2,982 2,191 2,982 2,487 57,160 57,260 2,989 2,196 2,989 2,494 57,260 57,360 2,996 2,201 2,996 2,501 57,360 57,460 3,002 2,206 3,002 2,508 57,460 57,560 3,009 2,211 3,009 2,515 57,560 57,660 3,016 2,216 3,016 2,521 57,660 57,760 3,023 2,221 3,023 2,528 57,760 57,860 3,030 2,227 3,030 2,535 57,860 57,960 3,037 2,232 3,037 2,542 57,960 58,060 3,044 2,237 3,044 2,549 58,060 58,160 3,050 2,242 3,050 2,556 58,160 58,260 3,057 2,247 3,057 2,562 58,260 58,360 3,064 2,252 3,064 2,569 58,360 58,460 3,071 2,257 3,071 2,576 58,460 58,560 3,078 2,262 3,078 2,583 58,560 58,660 3,085 2,267 3,085 2,590 58,660 58,760 3,091 2,272 3,091 2,597 58,760 58,860 3,098 2,277 3,098 2,603 58,860 58,960 3,105 2,282 3,105 2,610 58,960 59,060 3,112 2,287 3,112 2,617 59,060 59,160 3,119 2,292 3,119 2,624 59,160 59,260 3,126 2,297 3,126 2,631 59,260 59,360 3,132 2,302 3,132 2,638 59,360 59,460 3,139 2,307 3,139 2,644 59,460 59,560 3,146 2,312 3,146 2,651 59,560 59,660 3,153 2,317 3,153 2,658 59,660 59,760 3,160 2,322 3,160 2,665 39,360 39,460 1,771 1,313 1,771 1,429 39,460 39,560 1,778 1,317 1,778 1,434 39,560 39,660 1,785 1,320 1,785 1,439 39,660 39,760 1,792 1,324 1,792 1,444 39,760 39,860 1,799 1,327 1,799 1,449 39,860 39,960 1,805 1,331 1,805 1,454 39,960 40,060 1,812 1,335 1,812 1,459 40,060 40,160 1,819 1,340 1,819 1,464 40,160 40,260 1,826 1,345 1,826 1,469 40,260 40,360 1,833 1,350 1,833 1,474 40,360 40,460 1,840 1,355 1,840 1,479 40,460 40,560 1,847 1,360 1,847 1,484 40,560 40,660 1,853 1,365 1,853 1,489 40,660 40,760 1,860 1,370 1,860 1,494 40,760 40,860 1,867 1,375 1,867 1,499 40,860 40,960 1,874 1,380 1,874 1,504 40,960 41,060 1,881 1,385 1,881 1,509 41,060 41,160 1,888 1,390 1,888 1,514 41,160 41,260 1,894 1,395 1,894 1,519 41,260 41,360 1,901 1,400 1,901 1,524 41,360 41,460 1,908 1,405 1,908 1,529 41,460 41,560 1,915 1,410 1,915 1,534 41,560 41,660 1,922 1,415 1,922 1,540 41,660 41,760 1,929 1,420 1,929 1,545 41,760 41,860 1,935 1,425 1,935 1,550 41,860 41,960 1,942 1,430 1,942 1,555 41,960 42,060 1,949 1,435 1,949 1,560 42,060 42,160 1,956 1,440 1,956 1,565 42,160 42,260 1,963 1,445 1,963 1,570 42,260 42,360 1,970 1,450 1,970 1,575 42,360 42,460 1,976 1,455 1,976 1,580

42,460 42,560 1,983 1,460 1,983 1,585 42,560 42,660 1,990 1,465 1,990 1,590 42,660 42,760 1,997 1,470 1,997 1,595 42,760 42,860 2,004 1,475 2,004 1,600 42,860 42,960 2,011 1,480 2,011 1,605 42,960 43,060 2,018 1,485 2,018 1,610 43,060 43,160 2,024 1,490 2,024 1,615 43,160 43,260 2,031 1,495 2,031 1,620 43,260 43,360 2,038 1,500 2,038 1,625 43,360 43,460 2,045 1,505 2,045 1,630 43,460 43,560 2,052 1,510 2,052 1,635 43,560 43,660 2,059 1,515 2,059 1,640 43,660 43,760 2,065 1,520 2,065 1,645 43,760 43,860 2,072 1,525 2,072 1,650 43,860 43,960 2,079 1,530 2,079 1,655 43,960 44,060 2,086 1,535 2,086 1,660 44,060 44,160 2,093 1,540 2,093 1,665 44,160 44,260 2,100 1,545 2,100 1,670 44,260 44,360 2,106 1,550 2,106 1,675 44,360 44,460 2,113 1,555 2,113 1,680 44,460 44,560 2,120 1,560 2,120 1,685 44,560 44,660 2,127 1,565 2,127 1,690 44,660 44,760 2,134 1,570 2,134 1,695 44,760 44,860 2,141 1,575 2,141 1,700 44,860 44,960 2,147 1,580 2,147 1,705 44,960 45,060 2,154 1,585 2,154 1,710 45,060 45,160 2,161 1,590 2,161 1,715 45,160 45,260 2,168 1,595 2,168 1,720 45,260 45,360 2,175 1,600 2,175 1,725 45,360 45,460 2,182 1,605 2,182 1,730 45,460 45,560 2,189 1,610 2,189 1,735 45,560 45,660 2,195 1,615 2,195 1,740 45,660 45,760 2,202 1,620 2,202 1,745 45,760 45,860 2,209 1,625 2,209 1,750 45,860 45,960 2,216 1,630 2,216 1,755 45,960 46,060 2,223 1,635 2,223 1,760 46,060 46,160 2,230 1,640 2,230 1,765 52,960 46,160 39,360 56,060 49,260 42,460

*A qualifying widow(er) must also use this column. Over $64,460 • Use the following worksheet if your Nebraska taxable income is more than the maximum amount included in the 2021 Nebraska Tax Table. The tax table shown above calculates tax to the midpoint of the bracket. The amounts shown below represent tax calculated on $64,460, the endpoint of the bracket. Single Add $3,485 plus 6.84% of the amount over $64,460. __________ Married, filing jointly or qualifying widow(er) Add $2,560 plus 6.84% of the amount over $64,460. __________ Married, filing separately Add $3,485 plus 6.84% of the amount over $64,460. __________ Head of household Add $2,990 plus 6.84% of the amount over $64,460. __________ This is your Nebraska income tax. (Enter on line 15, Form 1040N; or if you are a nonresident or partial-year resident, enter on line 6a, Nebraska Schedule III.) 34 revenue.nebraska.gov 2021 Nebraska Tax Table — continued If Nebraska taxable income is — And you are — If Nebraska taxable income is — And you are — If Nebraska taxable income is — And you are — 61,360 61,460 3,276 2,407 3,276 2,781 61,460 61,560 3,283 2,412 3,283 2,788 61,560 61,660 3,290 2,417 3,290 2,795 61,660 61,760 3,297 2,422 3,297 2,802 61,760 61,860 3,303 2,427 3,303 2,809 61,860 61,960 3,310 2,432 3,310 2,815 61,960 62,060 3,317 2,437 3,317 2,822 62,060 62,160 3,324 2,442 3,324 2,829 62,160 62,260 3,331 2,447 3,331 2,836 62,260 62,360 3,338 2,452 3,338 2,843 62,360 62,460 3,344 2,457 3,344 2,850 62,460 62,560 3,351 2,462 3,351 2,857 62,560 62,660 3,358 2,467 3,358 2,863 62,660 62,760 3,365 2,472 3,365 2,870 62,760 62,860 3,372 2,477 3,372 2,877 62,860 62,960 3,379 2,482 3,379 2,884 62,960 59,760 Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — Over But not over Single Married, filing jointly * Married, filing sepa- rately Head of a house- hold Your Nebraska tax is — 59,760 59,860 3,167 2,327 3,167 2,672 59,860 59,960 3,173 2,332 3,173 2,679 59,960 60,060 3,180 2,337 3,180 2,686 60,060 60,160 3,187 2,342 3,187 2,692 60,160 60,260 3,194 2,347 3,194 2,699 60,260 60,360 3,201 2,352 3,201 2,706 60,360 60,460 3,208 2,357 3,208 2,713 60,460 60,560 3,215 2,362 3,215 2,720 60,560 60,660 3,221 2,367 3,221 2,727 60,660 60,760 3,228 2,372 3,228 2,733 60,760 60,860 3,235 2,377 3,235 2,740 60,860 60,960 3,242 2,382 3,242 2,747 60,960 61,060 3,249 2,387 3,249 2,754 61,060 61,160 3,256 2,392 3,256 2,761 61,160 61,260 3,262 2,397 3,262 2,768 61,260 61,360 3,269 2,402 3,269 2,774 62,960 63,060 3,386 2,487 3,386 2,891 63,060 63,160 3,392 2,492 3,392 2,898 63,160 63,260 3,399 2,497 3,399 2,904 63,260 63,360 3,406 2,502 3,406 2,911 63,360 63,460 3,413 2,507 3,413 2,918 63,460 63,560 3,420 2,512 3,420 2,925 63,560 63,660 3,427 2,517 3,427 2,932 63,660 63,760 3,433 2,522 3,433 2,939 63,760 63,860 3,440 2,527 3,440 2,945 63,860 63,960 3,447 2,532 3,447 2,952 63,960 64,060 3,454 2,537 3,454 2,959 64,060 64,160 3,461 2,542 3,461 2,966 64,160 64,260 3,468 2,547 3,468 2,973 64,260 64,360 3,474 2,552 3,474 2,980 64,360 64,460 3,481 2,557 3,481 2,986 61,360

Local Sales and Use Tax Codes and Rates Ainsworth (003) 1.50% Albion (004) 1.50 Alliance (008) 1.50 Alma (009) 2.00 Ansley (015) 1.00 Arapahoe (016) 1.00 Arcadia (017) 1.00 Arlington (018) 1.50 Arnold (019) 1.00 Ashland (021) 1.50 Atkinson (023) 1.50 Auburn (025) 1.00 Bancroft (030) 1.50 Bassett (035) 1.50 Battle Creek (036) 1.50 Bayard (037) 1.00 Beatrice (039) 2.00 Beaver City (040) 1.00 Beaver Crossing (041) 1.00 Beemer (043) 1.50 Bellevue (046) 1.50 Bellwood (047) 1.50 Benedict (049) 1.50 Benkelman (050) 1.50 Bennet (051) 1.00 Bennington (052) 1.50 Bertrand (053) 1.50 Big Springs (055) 1.00 Blair (057) 1.50 Bloomfield (058) 1.00 Blue Hill (060) 1.50 Brainard (066) 1.00 Bridgeport (068) 1.00 Broken Bow (072) 1.50 Brownville (073) 1.00 Burwell (081) 1.50 Cairo (085) 1.00 Callaway (086) 1.00 Cambridge (087) 2.00 Cedar Rapids (092) 1.00 Central City (094) 1.50 Ceresco (095) 1.50 Chadron (096) 2.00 Chambers (097) 1.00 Chappell (099) 2.00 Chester (100) 1.00 Clarks (101) 1.50 Clarkson (102) 1.50 Clatonia (103) 0.50 Clay Center (104) 1.50 Clearwater (105) 1.50 Coleridge (108) 1.00 Columbus (110) 1.50 Cordova (114) 1.00 Cortland (116) 1.00 Cozad (119) 1.50 Crawford (122) 1.50 Creighton (123) 1.00 Crete (125) 2.00 Crofton (126) 1.00 Curtis (129) 1.00 Dakota City (131) 1.00 Dakota County (922) 0.50 Dannebrog (134) 1.00 Davey (137) 1.50 David City (138) 2.00 Daykin (140) 1.00 Decatur (141) 2.00 Deshler (143) 1.00 DeWeese (144) 1.00 DeWitt (145) 1.00 Diller (147) 1.00 Dodge (150) 1.50 Doniphan (151) 1.00 Dorchester (152) 1.50 Douglas (153) 1.50 Duncan (156) 1.50 Eagle (159) 1.00 Edgar (161) 1.00 Edison (162) 1.00 Elgin (164) 1.00 Elm Creek (167) 1.00 Elmwood (168) 1.50 Elwood (170) 1.00 Eustis (176) 1.00 Ewing (177) 0.50 Exeter (178) 1.50 Fairbury (179) 2.00% Fairfield (180) 1.50 Falls City (182) 1.50 Farnam (183) 1.00 Fordyce (187) beginning 4/1/2021 1.00 Fort Calhoun (188) 1.50 Franklin (190) 1.00 Fremont (191) 1.50 Friend (192) 1.50 Fullerton (193) 2.00 Gage County (934) 0.50 Geneva (198) 2.00 Genoa (199) 1.50 Gering (200) 1.50 Gibbon (201) beginning 4/1/2021 1.50

1/1/2021 to 3/31/2021 1.00 Gordon (206) beginning 1/1/2021 1.50 Gothenburg (207) 1.50 Grand Island (210) 2.00 Grant (211) 1.00 Greeley (212) beginning 1/1/2021 1.50 Greenwood (213) 1.00 Gresham (214) 1.50 Gretna (215) 2.00 Guide Rock (217) beginning 4/1/2021 1.50

1/1/2021 to 3/31/2021 1.00 Harrison (227) 1.50 Hartington (228) beginning 4/1/2021 1.50

1/1/2021 to 3/31/2021 1.00 Harvard (229) 1.00 Hastings (230) 1.50 Hay Springs (231) 1.00 Hebron (235) 1.50 Hemingford (236) 1.50 Henderson (237) 1.50 Hickman (242) 1.50 Hildreth (243) 1.00 Holdrege (245) 1.50 Hooper (248) 1.00 Howells (251) 1.50 Hubbard (252) 1.50 Hubbell (253) 1.00 Humphrey (255) beginning 7/1/2021 2.00

1/1/2021 to 6/30/2021 1.50 Hyannis (257) 1.00 Imperial (258) 1.00 Jackson (263) 1.50 Jansen (264) 1.00 Juniata (268) beginning 1/1/2021 1.50 Kearney (269) 1.50 Kimball (273) 1.50 Laurel (276) 1.00 LaVista (274) 2.00 Lawrence (277) 1.00 Leigh (279) 1.50 Lewellen (281) 1.00 Lexington (283) 1.50 Lincoln (285) 1.75 Linwood (287) 1.00 Loomis (291) 1.00 Louisville (293) 1.50 Loup City (294) 2.00 Lyons (298) 1.50 Madison (299) 1.50 Malcolm (302) 1.00 Manley (304) beginning 7/1/2021 0.50 Marquette (305) 1.50 Maywood (311) 1.50 McCook (312) 1.50 McCool Junction (313) 1.50 Meadow Grove (317) 1.50 Milford (322) 1.00 Milligan (325) 1.50 Minden (327) 2.00 Mitchell (328) 1.50 Monroe (330) 1.50 Morrill (332) 1.00 Mullen (334) 1.00 Murray (336) 1.00 Nebraska City (339) 2.00 Nehawka (340) 1.00 Neligh (341) 1.00 Nelson (342) 1.00 Newman Grove (346) 1.50 Niobrara (349) 1.00 Norfolk (351) 1.50 North Bend (353) 1.50% North Platte (355) 1.50 Oakland (358) 1.50 Oconto (360) 1.00 Odell (362) 1.00 Ogallala (363) 1.50 Omaha (365) 1.50 O’Neill (366) 1.50 Orchard (368) 1.50 Ord (369) 2.00 Osceola (371) 1.50 Oshkosh (372) 2.00 Osmond (373) 1.50 Oxford (376) 1.50 Palmer (379) 1.50 Palmyra (380) 1.00 Papillion (382) 2.00 Pawnee City (383) 2.00 Paxton (384) 2.00 Pender (385) 1.50 Peru (386) 1.00 Petersburg (387) 1.00 Pierce (390) 1.00 Pilger (391) 1.50 Plainview (392) 1.50 Platte Center (393) 1.50 Plattsmouth (394) 1.50 Pleasanton (396) 1.00 Plymouth (397) 1.50 Ponca (399) 1.50 Ralston (407) 1.50 Randolph (408) 1.50 Ravenna (409) 1.50 Red Cloud (411) 1.50 Republican City (412) 1.00 Rising City (415) 1.00 Roca (418) 1.50 Rushville (425) 1.50 St. Edward (452) 1.50 St. Paul (454) 1.00 Sargent (428) 2.00 Schuyler (430) 1.50 Scottsbluff (432) 1.50 Scribner (433) 1.50 Seward (435) 1.50 Shelby (436) 1.50 Sidney (441) 2.00 Silver Creek (442) 1.00 South Sioux City (446) 1.50 Spalding (447) beginning 4/1/2021 1.50 Spencer (448) 1.00 Springfield (450) 1.50 Springview (451) 1.00 Stanton (456) 1.50 Sterling (462) 1.00 Stromsburg (467) 1.50 Stuart (468) 1.50 Superior (470) 1.50 Sutton (473) 1.50 Syracuse (475) 1.00 Tecumseh (481) 1.50 Tekamah (482) 2.00 Terrytown (483) 1.00 Tilden (487) 1.50 Uehling (491) 1.00 Unadilla (493) 1.50 Upland (495) beginning 4/1/2021 1.50

1/1/2021 to 3/31/2021 0.50 Utica (496) 1.50 Valentine (497) 1.50 Valley (498) 1.50 Verdigre (502) 1.50 Wahoo (506) 2.00 Wakefield (507) 1.00 Waterloo (512) 2.00 Wauneta (513) 1.00 Wausa (514) 1.00 Waverly (515) 1.50 Wayne (516) 1.50 Weeping Water (517) 1.50 West Point (519) 1.50 Wilber (523) 1.50 Wisner (530) 2.00 Wood River (533) 1.50 Wymore (534) 1.50 York (536) 2.00

Jurisdiction Local Rate Jurisdiction Jurisdiction Jurisdiction Local Rate Local Rate 35 revenue.nebraska.gov