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                                                                                                                                                                                    FORM 1120N
                                            Nebraska Schedule III — Subsidiary or Affiliated Corporations                                                                           Schedule III
                                                                                                                                                                                    2022
                                                           ID Numbers                                                                     Tax Payment Information*                  Apportionment Factor
                                                                                                                                                                                    Infomation**
Name and Address of All Corporations                                                                                                      (B)
                                                  Nebraska            Federal                                            (A)              Total Estimated          (C)              (D)
                                                                                                                         Total Income Tax Income Tax               Amount Paid      Amount of Nebraska
                                                                                                                         Deposits         Payments, 1120N-ES       with this Return Sales or Receipts
                                                                                                                         from 7004N
Corporation Filing this Return:

Parent Corporation, if different from above:

Subsidiary/Affiliated Corporations:

                                            Totals

*  Complete columns (A), (B), and (C) if tax payments were made under more than one Nebraska ID number.
**  Complete column (D) to summarize the numerator of the corporations filing one combined corporation income tax return.
                                                                                                                                                                                       8-241-2022

                                            Nebraska Schedule IV — Converting Net Income to Combined Net Income                                                                         FORM 1120N
                                                                                                                                                                                        Schedule IV
                                                                             • If this schedule is used, read instructions and attach this schedule to Form 1120N.
                                                                                                                                                                                        2022
  Name on Form 1120N                                                                                                                    Nebraska ID Number
  
                                                                           Corporation FEINs (Enter FEINs as column headings.)                                    (II) 
            Income and Deductions                                                                                              ( )I                               Eliminations          (III)
                                                                                                                               Subtotal                           (Attach explanation.) Combined Income

 1 Gross receipts or sales less returns
   and allowances ...............................................  
 2 Cost of goods sold ..........................................  
 3 Gross profit (subtract line 2 from line 1) ..........  
 4 Dividends and inclusions ................................  
 5 Interest ............................................................  
 6 Gross rents .....................................................  
 7 Gross royalties ................................................  
 8 Capital gain net income ..................................  
 9 Net gain (loss) .................................................  
 10 Other income ..................................................  
 11 TOTAL INCOME
   (total of lines 3 through 10) .............................  
 12 Compensation of officers ................................  
 13 Salaries and wages (less employment credit)   
 14 Repairs and maintenance ...............................  
 15 Bad debts ........................................................  
 16 Rents ..............................................................  
 17 Taxes ..............................................................  
 18 Interest ............................................................  
 19 Charitable contributions ..................................  
 20 Depreciation not claimed elsewhere on
   federal return ..................................................
 21 Depletion .........................................................  
 22 Advertising ......................................................  
 23 Pension, profit sharing, etc., plans ..................  
 24 Employee benefit plans ...................................  
25 Reserved for future use ..................................
 26 Other deductions (attach schedules) ..............  
 27 TOTAL DEDUCTIONS (total of lines 12
   through 26) .....................................................  
 28 Taxable income before federal adjustments
   (line 11 minus line 27) .....................................  
 29 Less: a Net operating loss deduction ...........  
          b Special deductions ..........................  
          c  Total net operating loss and 
            special deductions ...........................
30 Taxable income (line 28 minus line 29c). 
   The amount in the “Combined Income” column
    should be entered on line 2, Form 1120N. ..........