Fillable Form 3 - Nebraska And Local Individual Use Tax Return printable pdf download

Form 3 - Nebraska And Local Individual Use Tax Return

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FORM

Nebraska and Local Individual Use Tax Return

PLEASE DO NOT WRITE IN THIS SPACE

Social Security Number

NAME AND MAILING ADDRESS

RESET FORM

PRINT FORM

Name

Street or Other Mailing Address

City

State

Zip Code

1 Cost of taxable items or services purchased for use in Nebraska when Nebraska sales tax has not

been paid ......................................................................................................................................................

1 $

2 Nebraska use tax due (line 1 multiplied by .055) ..........................................................................................

Complete the following Local Use Tax Table (see instructions).

Local Use Tax Table

COLUMN A

COLUMN B

CITY OR COUNTY

LOCAL

Amount Subject to

Local Use Tax

TAX RATE

CODE