Nebraska and Local Business Use Tax Return
Form
2
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Tax Period
Nebraska ID Number
Name and Location Address
Name and Mailing Address
1 Cost of taxable property or services purchased for use in Nebraska when Nebraska sales tax has not
00
1
been paid (Include the cost of property withdrawn from inventory for use.) .................................................
2 Nebraska use tax due (line 1 multiplied by .055) ..........................................................................................
2
Complete the following Local Use Tax Table (see instructions).
Local Use Tax Table
Column B
Column A
Local
Local
City or County
Local Use Tax
Amount Subject to
Code
Tax Rate
(Rate x Column A)
Click here for Current Codes and Rates
Local Use Tax
00
00
00
00
00
3 Total local use tax due (add amounts in Column B) .....................................................................................
3
4 Total Nebraska and local use taxes due (line 2 plus line 3) ..........................................................................
4
5 Credit for tax properly paid to other states and taxing jurisdictions on property included on line 1
(see instructions) ..........................................................................................................................................
5
6 Net Nebraska and local use taxes due (line 4 minus line 5) .........................................................................
6
7 Previous balance with applicable interest at
% per year and payments received through
7
Check this box if your payment is being made electronically.
8 Balance due (line 6 plus or minus line 7). Pay in full with this return ............................................................
8
I declare under penalties of law that I have examined this return, and to the best of my knowledge and belief, it is correct and complete.
sign
here
Authorized Signature
Date
Signature of Preparer Other Than Taxpayer
Date
Title
Daytime Phone Number
Daytime Phone Number
Email Address
Email Address
This return is due on or before the 20th day of the month following the tax period indicated above.
Mail this return and payment to: Nebraska Department of Revenue, PO Box 98923, Lincoln, NE 68509-8923.
revenue.nebraska.gov, 800-742-7474 (NE and IA), 402-471-5729