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                                           Nebraska Corporation Income Tax Return                                                                             FORM 1120N
                                           for the taxable year January 1, 2020 through December 31, 2020 or other taxable year
                                           beginning                     , 2020 and ending                        ,                                                    2020
 Name Doing Business As (dba)                                                                                        PLEASE DO NOT WRITE IN THIS SPACE
  Legal Name
  Street or Other Mailing Address
   CityPlease Type or Print                       State                                      Zip Code
 Business Classification Code        Date Business Began in Nebraska  Principal Business Activity in Nebraska  Federal ID Number                              Nebraska ID Number
  Check if:           Initial Return                                Address Change               Exempt Organization                                          7004 Attached
                      Final Return (Example, dissolved. See instr.) Name Change                  Cooperative Meeting IRC § 6072(d)                            3800N, 775N, or 312N Attached 
 Corporation Filing Status (Answer questions A through D, as applicable.)                 C. Are you filing as a unitary group in any other state?
 A. Does this corporation own at least 50% of another corporation; or is                         (1)                YES            (2)                     NO
    it owned at least 50% by another corporation?                                         D. Check the method used to determine Nebraska income
              (1)           YES            (2) NO                                            (check only one):
    If Yes, attach Federal Form 851 or a schedule of affiliated                              (1)     Combined report of a controlled group of corporations
    corporations and federal IDs. Answer questions B, C, and  D.                             (2)     Separate report by a member of a controlled group
 B. Is one single Nebraska return being filed for the entire group?                                  of corporations (attach supporting documentation)
              (1) YES                      (2) NO                                            (3)     Alternate method (attach Nebraska Department of Revenue approval)
 1  Federal gross sales or receipts, less returns and allowances ......................................................................                    1                    00
 2 Federal taxable income (FTI) (see instructions) ...........................................................................................             2                    00
 3 Adjustments increasing FTI (line 9, from attached Nebraska Schedule A) ........                                3              00
 4 Adjustments decreasing FTI (line 19, from attached Nebraska Schedule A) .....                                  4              00
 5 Adjusted FTI (enter line 2 plus line 3 minus line 4) ......................................................................................             5                    00
 6 Nebraska taxable income before Nebraska carryovers (see instructions) ...................................................                               6                    00
 7 Nebraska capital loss carryover (see instructions – attach worksheet) .......................................................                           7                    00
 8 Nebraska taxable income after Nebraska capital loss carryover (line 6 minus line 7) .................................                                   8                    00
 9  Nebraska net operating loss carryover (see instructions – attach worksheet) .............................................                              9                    00
 10 Net Nebraska taxable income (line 8 minus line 9) ......................................................................................               10                   00
 11 Nebraska tax                   Check this box if you are an insurance company ............................................................             11                   00
 12 Premium tax credit (see instructions – attach schedule) ....................................                  12             00
 13 Employer’s credit for expenses incurred for TANF (ADC) recipients (see instr.)  13                                           00
 14 School Readiness Tax Credit for providers (see instructions) ..........................           14                         00
 15 Community Development Assistance Act credit (attach Form CDN) .................                               15             00
 16 Form 3800N nonrefundable credit (attach Form 3800N) ...................................                       16             00
 17 Total nonrefundable credits (total of lines 12 through 16) ............................................................................                17                   00
 18 Nebraska tax after nonrefundable credits. Subtract line 17 from line 11 (if line 17 is more than line 11, enter -0-)                                   18                   00
 19 Form 3800N refundable credit (attach Form 3800N) .........................................                    19             00
 20 Tax deposited with Form 7004N ........................................................................        20             00
 21 2020 estimated income tax payments (minus any Form 4466N adjustment) ....                                     21             00
 22 Beginning Farmer credit  .................................................................................... 22             00
 23  Nebraska income tax withheld (see instructions)  ..............................................              23             00
 24 Nebraska Property Tax Incentive Act Credit (attach Form PTC) .........................                        24             00
 25  Total refundable credits and payments (total of lines 19 through 24) ...........................................................                      25                   00
 26  Tax Due (line 18 minus line 25) ....................................................................................................................  26                   00
 27 Penalty for underpayment of estimated income tax (see instructions) ..........................................................  27                                          00
 28 Amount Due (when line 25 is less than the total of lines 18 and 27) If paying electronically, check here        ..                                     28                   00
 29 Overpayment (when line 25 is greater than the total of lines 18 and 27) .....................................................                          29                   00
 30 Amount on line 29 to be credited to 2021 estimated income tax .................................................................                        30                   00
 31 Overpayment to be refunded (line 29 minus line 30). Direct deposit: Complete lines 32a, 32b, and 32c ....                                              31                   00
 32a Routing Number                                                                                                  32b Type of Account                      Checking     Savings
 32c Account Number                                                                                                              (see instructions)
 32d   Check this box if this refund will go to a bank account outside the United States.
                      Under penalties of perjury, I declare that as taxpayer or preparer, I have examined this return, including accompanying schedules and statements, 
                   and to the best of my knowledge and belief, it is correct and complete.
 sign
                      Signature of Officer                          Date                         Email Address
 here
                      Title                                         Daytime Phone Number
       paid
preparer’s            Preparer’s Signature                          Date                         Preparer’s PTIN
 use only
                      Print Firm’s Name (or yours if self-employed), Address and Zip Code        EIN                                                          Daytime Phone 
                            Paper filers must attach a copy of the federal return and supporting schedules, as filed with the IRS, to this return.                              8-270-2020



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                                                                                                                                                                                                     FORM 1120N
                              Nebraska Schedule A — Adjustments to FTI                                                                                                                               Schedules
                                                                                                                                                                                                     A and I
                              Nebraska Schedule I              — Apportionment for Multistate Business
                                                                                                                                                                                                     2020
 Name on Form 1120N                                                                                                                                       Nebraska ID Number

                                                               Nebraska Schedule A
                                    • You must use Schedule A if you make an adjustment on lines 3 or 4 of Form 1120N.
                                                               Adjustments Increasing FTI
 1    State and local government interest and dividend income (see instructions) .....................................................................................                            1           00
 2  Federal net operating loss deduction ..................................................................................................................................................       2           00
 3  Federal capital loss carryover .............................................................................................................................................................. 3           00
 4  Allocable, nonapportionable loss ............................................................ 4
 5  Related expenses ..................................................................................................................................   5
 6  Interest expense disallowance ...............................................................................................................         6
 7  Total allocable, nonapportionable loss (add lines 4-6) (attach affidavit - see instructions) ..................................................................                               7           00
 8  Other increasing adjustments
       aList type: _____________________________________________________________                                                          b Amount:  $ _______________
        Total other increasing adjustments. Enter total of lines 8b .............................................................................................................                 8           00
 9  Total adjustments increasing FTI (total of lines 1, 2, 3, 7, and 8). Enter here and on line 3, Form 1120N ...........................................                                         9           00
                                                               Adjustments Decreasing FTI 
 10  Qualified U.S. government interest deduction. (attach supporting schedule) ...................................................................................... 10                                     00
 11   Total foreign dividends (line 7, Nebraska Schedule II)  ........................................................................................................................ 11                     00 
 12   Special foreign tax credit adjustment (line 12, Nebraska Schedule II) ................................................................................................                      12          00
 13   Allocable, nonapportionable income.......................................................   13                                        00
 14   Related expenses .................................................................................................................................. 14                  00
 15   Interest expense disallowance ...............................................................................................................       15                  00
 16   Net allocable, nonapportionable income (line 13 minus lines 14 and 15) (attach affidavit — see instructions) .................................. 16                                                      00
 17   Nebraska College Savings Program (see instructions) ....................................................................................................................... 17                          00
 18  Other decreasing adjustments 
       aList type: _____________________________________________________________                                                          b Amount:  $ _______________
        Total other decreasing adjustments. Enter total of lines 18b .......................................................................................................... 18                            00
 19   TOTAL adjustments decreasing FTI (total of lines 10, 11, 12, 16, 17, and 18).  Enter here and on line 4, Form 1120N .......................  19                                                         00
                                                               Nebraska Schedule I —
                                                       Apportionment for Multistate Business
    1 Adjusted FTI (line 5, Form 1120N) ......................................................................................................................................................    1           00

 2 Nebraska apportionment factor (from line 15 below) ..........................................................                          2                  .                %
 3 Taxable income apportioned to Nebraska (line 1 multiplied by line 2). Enter here and on line 6, Form 1120N ..................................                                                  3           00
                                            Nebraska Apportionment Factor – Sales or Gross Receipts
                                                                                                                                                          Total                                      Nebraska
 4    Sales or gross receipts minus returns and allowances ..................................................                          4                                    00
 5  Sales delivered or shipped to purchasers in Nebraska: shipped from outside Nebraska ............................................................                            5                             00
 6 Sales delivered or shipped to purchasers in Nebraska: shipped from within Nebraska ...............................................................                           6                             00
 7 Sales shipped from Nebraska to the U.S. government ................................................................................................................          7                             00
 8 Interest on sales of tangible personal property ..............................................................                      8                                    00 8                              00 
 9 Interest, dividends, and royalties from intangible property ...............................................                         9                                    00 9                              00
 10   Gross rents .................................................................................................................... 10                                   00 10                             00
 11   Net gain on sales of intangible property ........................................................................                11                                   00 11                             00
 12   Gross receipts from sales of tangible personal and real 
      property not included above ..........................................................................................           12                                   00 12                             00
 13   Other income 
     a  List type: ____________________    b      Total Amount: $ _____________
    Nebraskac Amount: $ ___________
       Enter total of lines 13b in first column. Enter total of lines 13c in 
       second column ............................................................................................                      13                                   00 13                             00
 14  Total sales or gross receipts ......................................................................................              14                                   00 14                             00
 15  Nebraska apportionment factor. (Divide line 14, Nebraska column, by line 14, Total column, and round to six
      decimal places). Enter as a percent here and on Schedule I, line 2 above ..................................................................... 15                                           .              %



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                                                                                                                                                                     FORM 1120N
                    Nebraska Schedule II              — Foreign Dividend and Special Foreign                                                                         Schedule  II
                                                           Tax Credit Deduction
                                                                                                                                                                     2020
 Name on Form 1120N                                                                                                                            Nebraska ID Number
  
                                                      Nebraska Schedule  II
                      Foreign Dividend and Special Foreign Tax Credit Deduction 
        • Attach Schedule C, Federal Form 1120 or Schedule A, Federal Form 1120-L and a schedule separating foreign and domestic dividends.
                                                     Foreign Dividend Deduction Computation
   NOTE: The Nebraska Foreign Dividend Deduction calculated on lines 1 through 6 is only for those dividends included in federal taxable income 
   from corporations that are not subject to the Internal Revenue Code (IRC). This includes those corporations whose dividends do not qualify for 
   the dividends received deduction under IRC § 243.
   1 Dividends from foreign corporations and certain FSCs subject to the IRC § 245 deduction 
     (total of lines 6 and 7, column (a), Schedule C, Federal Form 1120) ..........................................................................................  1 00
  2  Special deductions on line 1 amount. Enter the total of lines 6 and 7, column (c), Schedule C, 
     Federal Form 1120 .....................................................................................................................   2 00
 3 Net foreign dividends subject to the IRC § 245 deduction included in FTI (line 1 minus line 2) ..................................................                 3 00
 4 Other dividends from foreign corporations. Enter amount from line 14, Schedule C, Form 1120 ...............................................                       4 00
 5 Income from controlled foreign corporations under Subpart F treated as a foreign dividend under the IRC ..............................                            5 00
 6 Foreign dividend gross-up (IRC § 78). Enter amount from line 18, Schedule C, Form 1120 ......................................................                     6 00
 7 Total foreign dividends (add lines 3 through 6). Enter the result here and on line 11, Schedule A, Form 1120N. ........................                           7 00
                       Special Foreign Tax Credit Deduction Computation
   Note: This deduction is only to be claimed when a corporation subject to the IRC is taxed by a foreign country, or one of its political subdivisions, 
   at a rate in excess of the maximum federal corporate tax rate (see instructions).
  8  FTI from qualifying foreign taxing jurisdictions
   Jurisdictions:a _____________________________________ b Amount: $ ____________
     Total FTI from qualifying foreign taxing jurisdictions. Enter total of lines 8b ..........................                                8 00
 9 Foreign taxes ............................................................................................................................. 9 00
 10  After tax foreign income (line 8 minus line 9) .............................................................................              10 00
 11  After tax foreign income not taxed (divide line 10 result by .79; enter result here) .....................                                11 00
 12  Special foreign tax credit adjustment (if line 11 is greater than or equal to line 8, enter -0-; if line 11 is less than line 8,
     enter the difference). Enter here and on line 12, Schedule A, Form 1120N. ................................................................................      12 00

                       All filers are encouraged to e-file their return. 
                      Mail this return and remit payment (electronically, if required) to:
                     Nebraska Department of Revenue, PO Box 94818, Lincoln, NE 68509-4818.
                      revenue.nebraska.gov, 800-742-7474 (NE and IA), 402-471-5729






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