Current Nebraska Forms

Form 6 Ordering

Most forms are available in a  “fill-in”  format, meaning you can view, complete, and print the form from your computer.
You will need the latest version of the free Acrobat Reader.

Forms in this list marked with an asterisk (*) are not available in fill-in format.

NUMERIC LISTING OF ALL CURRENT NEBRASKA FORMS   2 — Nebraska and Local Business Use Tax Return 3 — Nebraska and Local Individual Use Tax Return 4 — Nebraska Exemption Application for Sales and Use Tax 5 — Nebraska Exemption Application for Common or Contract Carrier's Sales and Use Tax 6* — Sales/Use Tax & Tire Fee Statement - Motor Vehicles & Trailers 6MB* — Sales and Use Tax Statement for Motorboat Sales 6XMB* — Amended Sales & Use Tax Statement for Motorboat Sales 6XN* — Amended Sales/Use Tax & Tire Fee Statement for Motor Vehicle/Trailer Sales 7 — Claim for Overpayment of Sales and Use Tax 7AG-1 — Nebraska Sales and Use Tax Refund Claim for Agricultural Machinery and Equipment 7-I — Tax Incentive Claim for Refund of Sales and Use Tax 9 — Nebraska and Local Sales and Use Tax Return for County Treasurers and Other Officials 9B — Nebraska Tire Fee Return for County Treasurers and Other Officials 9MB — Nebraska and Local Sales and Use Tax Return Collected from Motorboat Registrations 9N — Nebraska Employee Certificate for Allocation of Withholding Tax 10* — Nebraska and Local Sales and Use Tax Return with Schedule I-MVL 10* - Schedule I (1/1/2013-3/30/2013) 10* - Schedule I (10/1/2012-12/31/2012) 10* - Schedule I (7/1/2012-9/30/2012) 10* — Schedule II - Nebraska and Local Sales and Use Tax Combined Report 10* - Worksheets — Nebraska Net Taxable Sales and Use Tax Worksheets 10 — Nebraska and Local Sales and Use Tax Worksheet 10 — Nebraska Combined Collection Fee Calculation Worksheet 12N — 2012 Nebraska Nonresident Income Tax Agreement 11 — Nebraska Combined Filing Application 13 — Nebraska Resale or Exempt Sale Certificate for Sales Tax Exemption 13CCE — Exemption Permit Application For Use of Credit or Debit Cards by Sales Tax Exempt Entities 13E — Nebraska Energy Source Exempt Sale Certificate 13ME — Certificate of Exemption for Mobility Enhancing Equipment Used in a Motor Vehicle or Home 15 — Nebraska Application for Election of Lessors to Pay Sales and Use Tax on Cost of Motor Vehicles 17 — Purchasing Agent Appointment and Delegation of Authority for Sales and Use Tax 18 — Energy Conservation Improvement Fund Program Application 18D — Energy Conservation Improvement Fund Program Grant Distribution 18REM — Energy Conservation Improvement Fund Program Remittance 20 — Nebraska Tax Application 20CT — Nebraska Cigarette and Tobacco Products License and Registration Application 20DP — Nebraska Application for Direct Payment Authorization 20MF — Nebraska Motor Fuels License Application 21 — Request for Abatement of Penalty 21A — Application for Abatement of Interest 21MF — Motor Fuels Application for Abatement of Penalty 22 — Nebraska Change Request 22A — Nebraska Change Request for Individual Income Tax 23 — Nebraska Tax Return Copy Request 24C — Nebraska Bond Clearance Request for Nonresident Contractors and Subcontractors 25 — Nebraska Application for State Tax Exemption ID Card 26 — Nebraska Exemption Certificate for Native American Reservation Indians 27D — Payment and Authorization Agreement for Electronic Funds Transfer (EFT) of Tax Payments 28 — Nebraska Litter Fee Return 33 — Power of Attorney 34 — Nebraska Railroad Excise Tax Return 35 — Nebraska Class I Bingo Annual Report 35A — Nebraska Lottery by Pickle Card Annual Report 35B — Nebraska Lottery/Raffle Annual Report 35C — Nebraska Class II Bingo Quarterly/Annual Report 35K — Nebraska County/City Lottery Annual Report 36 — Tax Clearance Application 40 — Nebraska Air Carrier Annual Report 41* — Nebraska Railroad Tax Report 43* — Nebraska Public Service Entity Tax Report - Fluid Pipelines 43* — Nebraska Public Service Entity Tax Report - Gas Pipelines 43* — Nebraska Public Service Entity Tax Report - Telecommunications 43* — Nebraska Public Service Entity Tax Report - Utilities 44 — Private Car Line Company Report 50 — Nebraska Application for Bingo, Lottery, or Lottery by Pickle Card 50 — Schedule I - Bingo License 50 — Schedule II - Authorization for Pickle Card Operators Application 50A — Nebraska Application for Manufacturers, Distributors, and Manufacturer-Distributors 50B — Nebraska Application for Commercial Lessor of Bingo Premises 50B — Schedule I - Registration of Bingo Premises 50C — Nebraska Application for Gaming Manager 50D — Nebraska Application for Pickle Card Operator 50E — Nebraska Application for Pickle Card Sales Agent 50F — Nebraska Registration and Report of Pickle Card Dispensing Devices 50G — Nebraska Application for County/City Lottery 50G — Schedule I - County/City Lottery Operator Application 50G — Schedule II - County/City Lottery Sales Outlet Location Application 50G — Schedule III - County/City Lottery Worker Application 50H — Nebraska Application for Utilization of Funds Member 50J — Nebraska Application for Special Event Bingo Permit 51 — Nebraska Lottery/Raffle Tax Return 51A — Nebraska Distributor of Pickle Card Tax Return 51A — Schedule I - Distributor Activity Report 51B — Nebraska Bingo Tax Return 51B — Schedule I - Bingo Occasion Activity Report 51C — Nebraska County/City Lottery Tax Return 51C — Schedule I - County/City Lottery Activity Report 52 — Nebraska Documentary Stamp Tax Return 53 — Nebraska Refund Claim for Documentary Stamp Tax 54 — Nebraska Tax Application and Return for Mechanical Amusement Device 55B — Nebraska Certificate of Tobacco Master Settlement Agreement 55C — Nebraska Cigarette and Use Tax Return 56 — Nebraska Tobacco Products Tax Return for Products Other than Cigarettes 56 — Schedule I 56 — Schedule II 56A — Nebraska Manufactured and Imported RYO Report 59 — Nebraska Cigarette Tax Bond 61 — Nebraska Severance and Conservation Tax Return 61 — Schedule I 61 — Schedule II 62 — Nebraska Uranium Severance Tax Return 64 — Nebraska and County Lodging Tax Return 68 — Credit Computation--Cigarettes/Tobacco Products Sold to Native American Reservation Indians 69 — Nebraska Pari-Mutuel Wagering Tax Return 70 — Nebraska Motor Fuels Tax Bond 70XN — Nebraska Motor Fuels Tax Bond Rider 73* — Nebraska Monthly Fuel Tax Return 73MFD* — Nebraska Multiple Schedule of Disbursements 73MFR* — Nebraska Multiple Schedule of Receipts 80* — Nebraska Motor Fuels Carrier Report 83* — Nebraska Ethanol & Biodiesel Producer's Return 83MFD* — Nebraska Producer's Schedule of Disbursements 83MFR* — Nebraska Producer's Schedule of Receipts 84 — Nebraska Non-Ag Use Motor Fuels Tax Refund Claim 84AG — Nebraska Ag Use Motor Fuels Tax Refund Claim 87* — Nebraska Motor Fuels Terminal Operator Report 87* — Nebraska Motor Fuels Terminal Operator Schedule of Disbursements 87* — Nebraska Motor Fuels Terminal Operator Schedule of Receipts 91EX — Tax Exempt Certificate for Purchase of Undyed Diesel Fuel 93 — Nebraska Tire Fee Return 94 — Nebraska Waste Reduction and Recycling Fee Return 94 — Schedule 96 — Nebraska Floor Stocks Tax Return for Ethanol (E-100) Only 312N — Nebraska Advantage Act Incentive Computation 312P — Nebraska Advantage Act Claim for NE Personal Property Exemption 312P — Schedule I 312P — Schedule II 312P — Schedule III 401 — Separate Assessment Application for Severed Mineral Interests 402 — Improvements on Leased Land Assessment Application 402P — Improvements on Leased Public Land Assessment Application 422 — Property Valuation Protest & Report of County Board of Equalization Action 422A — Property Valuation Protest & Report of County Board of Equalization Action 451 — Exemption Application for Tax Exemption on Real and Personal Property 451A — Statement of Reaffirmation of Tax Exemption 453 — Exemption Application for Honorably Discharged Veterans 456 — Special Valuation Application for Agricultural or HOrticultural Use 457 — Application for Exemption from Motor Vehicle Taxes 458 — Nebraska Homestead Exemption Application or Certificate of Status 458 Schedule I — Nebraska Schedule I - Income Statement 458L — Physician's Certification for Late Homestead Exemption Filing 458R — Notice of Rejection of Homestead Exemption 458S — Homestead Exemption Summary Certificate 458T — Application for Transfer of Nebraska Homestead Exemption 458V — Homestead Exemption Certification--Average Assessed Value of Single-Family Res. Prop. 458X — Amended Homestead Exemption Summary Certificate 501N — Nebraska Monthly Withholding Deposit 521 — Real Estate Transfer Statement 521MH — Manufactured Housing Transfer Statement 706N — Nebraska Estate Tax Return for Estates of Persons Who Died On or After 7/1/2003 706N-1 — Nebraska Estate Tax Return for Estates of Persons Who Died 7/15/1992 through 12/31/2002 706N-GST — Generation-Skipping Transfer Tax Return for Taxable Transfers, 1/1/2003-12/31/2006 706N-GST-1 — Generation-Skipping Tax Return for Taxable Transfers, 7/15/1992-12/31/2002 706N-T — Nebraska Estate Tax Return for Estates of Persons Who Died 1/1/2003 through 6/30, 2003 775N — Nebraska Employment and Investment Growth Act Credit Computation 775P — Claim for Personal Property Exemption 775P — Schedule I - Turbine-Powered Aircraft 775P — Schedule II - Mainframe Computers and Peripherals 775P — Schedule III - Business Equipment 872N — Nebraska Extension of Statute of Limitations Agreement 941N* — Nebraska Withholding Return 1027 — Exemption Application for Qualified Beginning Farmer or Livestock Producer 1040N* — 2012 Nebraska Individual Income Tax Return 1040N* — Schedules I, II, and III 1040N-ES* — 2013 Nebraska Individual Estimated Income Tax Payment Voucher 1040N-ES* — 2012 Nebraska Individual Estimated Income Tax Payment Voucher 1040N-ES — 2011 Nebraska Individual Estimated Income Tax Payment Voucher 1040N-V — 2012 Nebraska Individual Income Tax Payment Voucher 1040XN — 2003 Amended Nebraska Individual Income Tax Return 1040XN — 2004 Amended Nebraska Individual Income Tax Return 1040XN — 2005 Amended Nebraska Individual Income Tax Return 1040XN — 2006 Amended Nebraska Individual Income Tax Return 1040XN — 2007 Amended Nebraska Individual Income Tax Return 1040XN — 2008 Amended Nebraska Individual Income Tax Return 1040XN — 2009 Amended Nebraska Individual Income Tax Return 1040XN — 2010 Amended Nebraska Individual Income Tax Return 1040XN — 2011 Amended Nebraska Individual Income Tax Return 1040XN — 2012 Amended Nebraska Individual Income Tax Return 1041N — 2012 Nebraska Fiduciary Income Tax Return 1041N Schedule K-1N — 2012 Beneficiary’s Share of Income, Deductions, Modifications, and Credits 1041N ESBT Worksheet — 2012 Electing Small Business Trust (ESBT) Tax Calculation Worksheet 1041N-ES — 2013 Nebraska Fiduciary Estimated Income Tax Payment Voucher 1065N — 2012 Nebraska Return of Partnership Income and Schedule A 1065N — Schedules I, ELF, and II 1065N — 2012 Schedule K-1N Partner's Share of Income, Deductions Modifications, and Credits 1120N — 2012 Nebraska Corporation Income Tax Return and Schedules A, I, and II 1120N —  Schedule III and IV 1120N-ES — 2012 Nebraska Corporation Estimated Income Tax Payment Vouchers 1120N-ES — 2013 Nebraska Corporation Estimated Income Tax Payment Vouchers 1120NF — 2012 Nebraska Financial Institution Tax Return 1120NF-ES — 2012 Nebraska Financial Institution Voluntary Estimated Voucher and Worksheet 1120-SN — 2012 Nebraska S Corporation Income Tax Return and Schedule A 1120-SN  — Schedule I, III, and III 1120-SN Schedule K-1N — 2012 Shareholder's Share of Income, Deductions, Modifications, and Credits 1120XN — Amended Nebraska Corporation Income Tax Return 1120XNF — 2012 Amended Nebraska Financial Institution Tax Return 1310N — Statement of Person Claiming Refund Due a Deceased Person 2210N — 2012 Individual Underpayment of Estimated Tax 2220N — 2012 Corporation Underpayment of Estimated Tax 2441N — 2012 Nebraska Child and Dependent Care Expenses 3800N — Nebraska Incentives Credit Computation for All Tax Years 4466N — 2012 Corporation Application for Adjustment of Overpayment of Estimated Income Tax 4797N — 2012 Special Capital Gains/Extraordinary Dividend Election and Computation 4868N — Application for Automatic Extension of Time to File a NE Individual Income Tax Return 7004N — Application for Automatic Extension of Time to File Corp., Fid., or Partnership Return 8453N — 2012 Nebraska Individual Income Tax Transmittal for E-Filed Returns 8874N-A — Notice of Qualified Equity Investment--New Markets Job Growth Investment Tax Credit CDN — 2012 Nebraska Community Development Assistance Act Credit Computation Corporation NOL — Nebraska Corporation Net Operating Loss Worksheet E911N — Nebraska Prepaid Wireless Surcharge Return L1L2 — Nebraska Advantage Rural Development Act Application NFC — 2012 Statement of Nebraska Financial Institution Tax Credit NOL Worksheet —  Nebraska Net Operating Loss Worksheet L1L2 Worksheet — Worksheet I for Applications prior to 2007 L1L2 Worksheet — Worksheet I for Applications 2007 or Later L1L2 Worksheet — Worksheet II for Applications 2004 or 2005 L1L2 Worksheet — Worksheet II for Applications 2006 or Later LM — Nebraska Advantage Rural Development Act Application for Livestock Modernization Projects LM Worksheet — Worksheet LM for Livestock Modernization Project Only RC73 — Nebraska Retailer's Claim for Exempt Sales of Motor Fuels TAA-50G — Temporary Agency Agreement for County/City Lottery Licenses W-3N* — Nebraska Reconciliation of Income Tax Withheld W-4NA — Nebraska Withholding Certificate for Nonresident Individuals    — Incentive Withholding Worksheet    — Nebraska Advantage Microenterprise Tax Credit Act Application    — Nebraska Advantage Act Sales &Use Tax Contractor's Certificate of Tax Paid

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Corporation and S Corporation Income Tax		Multi-use Forms
Forms specific to tax year 2012.		Forms that apply to more than one tax program: Applications for Abatement, Change Form, Power of Attorney, etc.
Charitable Gaming/Nebraska Lottery		Other Taxes
Forms for bingo, pickle card, keno, and raffle, as well as the Nebraska Lottery Retailer application forms.		Cigarette Tax, Tire Fee, Litter Fee, Waste Reduction and Recycling Fee, Lodging Tax, Estate Tax, Severance Tax, etc.
Fiduciary Income Tax		Property Assessment
Forms specific to tax year 2012.		Forms for county officials, homestead exemption, car lines, air carriers, public service entities, and railroads.
Financial Institution Tax		Partnership
Forms specific to tax year 2012.		Forms specific to tax year 2012.
Individual Income Tax		Sales and Use Tax
Forms specific to tax year 2012.		Applications and reporting forms for Nebraska sales and use tax.
Motor Fuels		Withholding
Applications and reporting forms for all of the Motor Fuels programs administered by the Department of Revenue.		Monthly, quarterly, and annual reporting forms for Nebraska employers.

Prior Years' Income Tax Forms:

2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004
2003 | 2002 | 2001 | 2000 | 1999 | 1998 | 1997

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