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Nebraska Free Printable  for 2024 Nebraska Nebraska Nonresident Income Tax Agreement

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Nebraska Nonresident Income Tax Agreement
Form 12N

PRINT FORM RESET FORM Nebraska Nonresident Income Tax Agreement FORM 12N Please Do Not Write In This Space Type of Organization (Check only one.) Estate or Trust Limited Liability Company Partnership S Corporation Taxable Year of Organization , 20 Beginning , 20 and Ending Nonresident’s Taxable Year Including Organization’s Year End , 20 Beginning , 20 and Ending Nonresident Individual’s or Nonresident Grantor’s Name and Mailing Address Please Type or Print Organization’s Name and Mailing Address Name Name Doing Business As (dba) Legal Name Street or Other Mailing Address City Street or Other Mailing Address State Social Security Number ZIP Code Spouse’s Social Security Number City Nebraska ID Number State ZIP Code Federal ID Number I declare that I was a nonresident of Nebraska for the tax year shown above, and agree that I will: timely file a Nebraska Individual Income Tax Return, Form 1040N; pay any income tax due; and that I will include in Nebraska adjusted gross income the portion of the above-named organization’s Nebraska income attributable to my interest in that organization for the taxable year that includes the year end date of the organization. sign here This Agreement is binding upon my heirs, representatives, assignees, successors, executors, and administrators. Signature of Nonresident Beneficiary, Member, Partner, or Shareholder Date Instructions Who May File. An individual beneficiary, member, partner, or shareholder who was a nonresident of Nebraska during any part of the organization’s taxable year may complete this Form 12N. A nonresident individual taxpayer includes a nonresident grantor of a grantor  trust. An organization includes estates, trusts, S corporations, partnerships, or limited liability companies (LLCs). Do not file the Form 12N if the entity elected to be subject to Nebraska income tax for the taxable year. The election is only available to partnerships and S corporations. When and Where to File. A signed and dated Form 12N must be completed each year and delivered to the organization prior to filing the organization’s Nebraska income tax return. The due date for the Nebraska income tax return for estates and trusts, is the 15th day of the fourth month following the close of the taxable year. The due date for the Nebraska income tax return of an S corporation, partnership, and LLC filing as an S corporation or partnership is the 15th day of the third month following the close of the taxable year. The organization will file the Forms 12N with its Nebraska income tax return. If Form 12N is Filed. The nonresident individual who has filed the Form 12N is required to timely file a Nebraska Individual Income Tax Return, Form 1040N. This return must report the nonresident’s share of the organization’s Nebraska income attributable to his or her interest in the organization during the taxable year, as well as any other income the nonresident has earned from Nebraska sources. A nonresident individual taxpayer who has a taxable year different from the taxable year shown on the Form 12N for the estate, trust, S corporation, partnership, or LLC, must report the income on the Form 1040N that includes the tax year end date of the organization. If a Form 12N is Not Completed and Filed. If a Form 12N is not properly completed and attached to the organization’s return for a nonresident individual, or completed and retained by the preparer when e-filing, the organization is required to report and remit an amount equal to the highest individual income tax rate of the nonresident’s share of the organization’s income derived from, or attributable to, Nebraska sources for the taxable year. The income tax withholding must be reported on the Nebraska Schedule  K-1N, and the organization’s Nebraska return. When the nonresident individual files Form 1040N, the amount remitted by the organization will be allowed as a credit against the individual taxpayer’s Nebraska income tax liability. If the nonresident has no other Nebraska source income and the organization has filed a Nebraska Schedule K-1N and remitted the appropriate amount for the nonresident, the nonresident is not required to file a Nebraska Form 1040N. The income tax remittance will be retained by the Nebraska Department of Revenue in full satisfaction of the nonresident’s income tax obligation to Nebraska. The nonresident may still file a return and claim a refund if one is due. Publicly-traded partnerships are not subject to the income tax remittance provision stated above. Attach this agreement to the organization’s Nebraska tax return, or retain it in the organization’s records if e-filing. revenue.nebraska.gov, 800-742-7474 (NE and IA), 402-471-5729 8-065-2023
Extracted from PDF file 2023-nebraska-form-12n.pdf, last modified January 2024

More about the Nebraska Form 12N Individual Income Tax Nonresident TY 2023

We last updated the Nebraska Nonresident Income Tax Agreement in February 2024, so this is the latest version of Form 12N, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 12N directly from TaxFormFinder. You can print other Nebraska tax forms here.


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Other Nebraska Individual Income Tax Forms:

TaxFormFinder has an additional 34 Nebraska income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 1040N Nebraska Individual Income Tax Return
Form 1040N-ES Individual Estimated Income Tax Payment Voucher
Form 1040N-Schedules Schedules I, II, and III
Form 12N Nebraska Nonresident Income Tax Agreement
Form 4868N Nebraska Application for Extension of Time

Download all NE tax forms View all 35 Nebraska Income Tax Forms


Form Sources:

Nebraska usually releases forms for the current tax year between January and April. We last updated Nebraska Form 12N from the Department of Revenue in February 2024.

Show Sources >

Form 12N is a Nebraska Individual Income Tax form. Many states have separate versions of their tax returns for nonresidents or part-year residents - that is, people who earn taxable income in that state live in a different state, or who live in the state for only a portion of the year. These nonresident returns allow taxpayers to specify which which income is subject to the state's taxes, and which is not.

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Nebraska Form 12N

We have a total of twelve past-year versions of Form 12N in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:



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Source: http://www.taxformfinder.org/index.php/nebraska/form-12n