Form 458 Schedule I is an essential document for anyone applying for a homestead exemption in Nebraska, necessitating a comprehensive understanding of personal finances. It requires detailed reports of income and medical expenses, ensuring eligible residents take full advantage of this tax relief. By meticulously filling out and attaching this Income Statement to your Nebraska Homestead Exemption Application or Certification of Status, you make a decisive step towards potentially reducing your tax liabilities.
The Nebraska Department of Revenue's Form 458 Schedule I, also recognized as the Income Statement, plays a pivotal role in the process of applying for a homestead exemption. Mandatory for applicants to accompany this form with their Homestead Exemption Application or Certification of Status, Form 458, it demands thorough attention to its intricate details. Aimed at capturing an accurate representation of an applicant's financial landscape for the year 2013, it encompasses various income types - wages, salaries, pensions, annuities, IRA distributions, and other incomes. Intriguingly, this form is bifurcated into two distinct sections where Part I is designated for individuals who did not file a federal income tax return in 2013 and Part II for those who did, ensuring all applicants navigate through a tailored income reporting experience. Additionally, the form delves into deductions for medical and dental expenses, underpinning the importance of these out-of-pocket costs in the calculation of household income. Furthermore, the completion of this form requires a detailed understanding of various inclusions and exclusions, notably federal AGI adjustments and specific non-taxable income types. Wrapped around strict filing deadlines, this form not only underscores the Nebraska Department of Revenue's commitment to facilitating tax exemptions but also emphasizes the criticality of precision and adherence to guidelines in the submission process.
Nebraska Schedule I — Income Statement
• Attach this schedule to the 2014 Nebraska Homestead Exemption Application
or Certification of Status, Form 458. • Read instructions carefully.
FORM
458
Schedule I
Applicant’s Name on Form 458
Applicant’s Social Security Number (SSN)
This Income Statement is filed for (select one only):
Applicant
Applicant & Spouse
Spouse
Other Owner-Occupant
Spouse’s or Owner-Occupant’s Name
Spouse’s or Owner-Occupant’s SSN
Note: Do not include the owner-occupant’s income on the income statement of the applicant/spouse listed above. Each owner-occupant’s income must be reported on a separate Nebraska Schedule I — Income Statement.
If married, you must report 2013 income for both you and your spouse.
Part I — For Applicants Who DID NOT FILE a 2013 Federal Income Tax Return
Complete Worksheet A on reverse side, as necessary.
If you filed a 2013 federal income tax return, complete only Part II.
Household Income: January 1 through December 31, 2013
1
.Wages and salaries
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . .
2
Social Security retirement income. If none, explain ______________________________________________
________________________________________________________________________________________________
3
Tier I Railroad Retirement income
4
Total pensions and annuities
4a______________________
4b Taxable amount
4b
5
IRA distributions
5a______________________
5b Taxable amount
5b
6
Tax exempt interest and dividends (must include all state and local bond income)
7
Taxable interest and dividends
8
Other income or adjustments (from line G, Worksheet A on reverse side)
9
Total of Lines 1 through 8 .
Medical and Dental Expenses – Caution: Do not include expenses reimbursed by insurance or paid by others.
10a
Medical and dental expenses (see instructions)
10b
Multiply line 9 by 4% (.04)
10c
Subtract line 10b from line 10a. If line 10b is more than line 10a enter -0- .
. . . . . . . . . . . . . . . . . . . 10c
11
Household income (line 9 minus line 10c)
. . . . . . . . . . . . . . . . . . . 11
Part II — For Applicants Who FILED a 2013 Federal Income Tax Return
• If you did not file a 2013 federal income tax return, complete only Part I and Worksheet A.
1 Federal adjusted gross income (AGI): Federal Form 1040, line 37;
Federal Form 1040A, line 21; or Federal Form 1040EZ, line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Social Security retirement income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Tier I Railroad Retirement income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Nebraska adjustments increasing federal AGI (enter amount from Form 1040N, line 12) . . . . . . . . .
5 Income from Nebraska obligations (enter amount from Form 1040N, line 46, Schedule I). . . . . . . . .
6 Total of lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7a
7b
Multiply line 6, Part II, by 4% (.04)
7c
Subtract line 7b from line 7a. If line 7b is more than line 7a enter -0-
. . . . . . . . . . . . . . . . . . . 7c
Household income (line 6 minus line 7c)
. . . . . . . . . . . . . . . . . . . 8
sign here
Under penalties of law, I declare that I have examined this schedule, and that it is, to the best of my knowledge and belief, correct and complete.
( )
Signature of Person Whose Income is Shown
Spouse’s Signature if Income Included
Date
Daytime Phone
File Form 458 and all Schedules with your county assessor after February 1 and by June 30.
Retain a copy for your records.
Authorized by Neb. Rev. Stat. §§ 77-3510 and 77-3528
Worksheet A — Part I
FORM 458
Line 8, Other Income or Adjustments
Worksheet A
.........................................................A Net business income including rental, or farm income, or (loss)
A
B Capital gain or (loss)
B
C Other gain or (loss)
C
D Unemployment compensation
D
E Any other income or (adjustments reducing income.) Explain:
E
F Penalty on early withdrawal of savings
F
G Total of lines A through E, minus line F (enter this amount here and on Part I, line 8)
G
Instructions
Who Must File. Any person applying for a homestead exemption must complete Nebraska Schedule I – Income Statement and attach it to the Nebraska Homestead Exemption Application or Certiication of Status, Form 458. If you iled, or would have iled as married for Nebraska individual income tax purposes for 2013, you must include income for both you and your spouse, even if you iled as “married, iling separately.” Each additional owner who occupied the homestead during any part of 2013 must also report their income on a separate schedule.
When and Where to File. Schedule I must be attached to the Form 458 and iled with your county assessor, after February 1, 2014 and by June 30, 2014.
Specific Instructions
Note – Do NOT include the following on the income statement:
•Department of Veterans Affairs disability compensation;
•Supplemental Security Income (SSI);
•Worker’s Compensation Act payments;
•Child support payments;
•Aid to Dependent Children (ADC); and
•Nebraska Department of Health and Human Services aid.
Exclude Social Security payments based on disability for applicants and spouses under their full retirement age (generally age 66) EXCEPT for any portion of the beneits included in federal adjusted gross income (AGI). Disability beneits automatically convert to retirement beneits at full retirement age and must be reported. See SSA Publication No. 05-10035.
Part I
Line 1, Wages and Salaries. Include any wages, salaries, fees, commissions, tips, bonuses, etc. received in 2013, even if you do not have a Federal Form W-2. If you have a Federal Form W-2, this information is shown in Box 1.
Line 2, Social Security Retirement Income. Report net beneits received in 2013, as shown in Box 5, Federal Form SSA-1099. Do NOT subtract Medicare premiums or any other adjustments from the amount in Box 5.
Line 3, Tier I Railroad Retirement Income. Include Tier I net Social Security equivalent beneit received in 2013, as shown in Box 5, Federal Form RRB-1099.
Line 4a and 4b,Total Pensions and Annuities. On line 4a, include total payments from retirement plans, life insurance annuity contracts, proit-sharing plans, and employee savings plans. Include any gross distribution received in 2013, as shown in Box 1, Federal Form 1099-R. Include Tier II, contributory amount paid, vested dual beneits, and supplemental annuities as shown in Box 7, Federal Form RRB-1099-R. On line 4b, report the taxable amount from Box 2(a), Form 1099-R. See Federal Form 1099-R and IRS Publication 575.
Line 5a and 5b, IRA Distributions. On line 5a, report the total payments received in 2013 from your IRA as shown in Box 1, Federal Form 1099-R. On line 5b, report the taxable amount from Box 2(a), Form 1099-R. Do not report any amount from a qualiied IRA rollover. See Federal Form 1099-R and IRS Publication 590.
Line 6, Tax Exempt Interest and Dividends. Report the total interest received in 2013 on tax exempt obligations. State and local bond income from both Nebraska and out-of-state obligations must be included. Include any exempt interest from a mutual fund or other regulated investment company. Do not include interest earned on your IRA, or excludable interest on series EE bonds. See Federal Form 8815.
Line 7, Taxable Interest and Dividends. Include your total interest and dividends received in 2013, as shown in:
1.Box 1 and Box 3, Federal Form 1099-INT (Interest Income) or similar statement;
2.Box 1 and Box 2, Federal Form 1099-OID; and
3.Box 1a and Box 2a, Federal Form 1099-DIV.
Interest and dividends from all U.S. government obligations must be included.
Line 8, Other Income or Adjustments. Complete Worksheet A and enter the amount from line G.
Line 9, Total of Lines 1 Through 8. If the amount on line 9 qualiies you for 100% relief (see the Household Income Table in these instructions), it is not necessary to complete line 10. In this case, the line 9 amount may be entered on line 11.
Line 10a-10c, Medical and Dental Expenses. See medical expenses speciic instructions on next page.
Line 11. Household Income. Use this amount to determine your percentage of relief as found in the Household Income
Table in these instructions.
Part II
Line 1, Federal AGI. Include income as reported for federal income tax purposes on line 37, Federal Form 1040; line 21, Federal Form 1040A; or line 4, Federal Form 1040EZ.
Line 2, Social Security Retirement Income. Enter Social Security retirement beneits minus any portion included as taxable in AGI. This is the amount shown in Box 5, Federal Form SSA-1099 (line 20a, Federal Form 1040, or line 14a, Federal Form 1040A), minus any amount reported on line 20b, Federal Form 1040, or line 14b, Federal Form 1040A. Do NOT subtract Medicare premiums or any other adjustments from the amount in Box 5.
Line 3, Tier I Railroad Retirement Income. Include the net Social Security equivalent portion of Tier I beneits minus any portion included as taxable in AGI. This is the amount shown in Box 5, Federal Form RRB-1099 (line 20a, Federal Form 1040, or line 14a, Federal Form 1040A), minus any amount reported on line 20b, Federal Form 1040, or line 14b, Federal Form 1040A.
Line 4, Nebraska Adjustments Increasing federal AGI. Report the total amount of Nebraska adjustments increasing federal AGI as shown on line 12, Nebraska Form 1040N. If there is an amount being deducted as a Nebraska net operating loss carryforward on line 13 of the Form 1040N, subtract the amount on line 13 from the amount on line 12. The difference must be entered on line 4 of this form, unless the total is a negative amount; then please enter -0-.
Line 5, Income From Nebraska Obligations. Include the total amount of interest income from Nebraska obligations as shown on line 46, Schedule I, Nebraska Form 1040N.
Line 6, Total of Lines 1 Through 5. If the amount on line 6 qualiies you for 100% relief (see the Household Income Table in these instructions), it is not necessary to complete line 7. In this case, the line 6 amount may be entered on line 8.
Line 7a-7c, Medical and Dental Expenses. See medical expenses instructions below.
Line 8. Household Income. Use this amount to determine your percentage of relief as found in the Household Income Table.
Medical Expenses Instructions
Part I, Line 10 or Part II, Line 7
“Medical expenses paid” includes all 2013 medical expenses incurred for and paid by the applicant, spouse, or owner-occupant.
In general, medical expenses include any payments you made that would qualify for the income tax medical expenses deduction on Federal Form 1040, Schedule A, line 1; except payments for the treatment of a dependent who is not an owner-occupant of the homestead. Include all amounts that were paid during 2013, regardless of when the care was received. If your insurance company paid the service provider directly for part of your expenses, and you paid only the amount that remained, include ONLY the amount you paid. Do not include amounts paid on your behalf directly to the service provider by any other person or governmental unit. IRS Publication 502 contains more information on medical and dental expenses.
Reimbursements. Do not include any amounts you paid that have been or will be reimbursed by insurance. Doctors, Dentists, Hospitals. Include amounts paid for medical services such as:
1.Payments to doctors, dentists, osteopaths, nurses, chiropractors, and other licensed medical practitioners;
2.Payments to hospitals or licensed nursing care facilities; and
3.Payments for purchases of medical equipment, crutches, hearing aids, eyeglasses, contact lenses, dentures, etc. Do not include funeral, burial, or cremation costs.
Prescription Medicines. Include payments for prescription medicines and insulin. Prescription medicines are only those drugs and medicines that cannot be purchased without a prescription.
Do not include any medicine that can be purchased over-the-counter without a prescription, whether or not they have been prescribed by a doctor. For example, aspirin, vitamins, and cough drops are not prescription medicines.
Health Insurance Premiums. Include insurance premiums paid for medical insurance for the applicant, spouse, or owner-occupant. Medical insurance includes Medicare Part B, Medicare Supplemental, Part D Medicare prescription drug coverage, or insurance for licensed nursing care. Part B Medicare withheld from Social Security payments should be included as insurance premiums paid.
Do not include: Medicare Part A deductions withheld from wages; self-employed health insurance that reduced total income; the medical payments portion of a car insurance policy; an accident or health insurance policy where the beneits do not speciically cover medical care; life insurance or income protection policies; employer-sponsored health insurance plans; and lexible spending accounts. These are not deductible medical insurance premiums.
Note: Retain a copy for your records.
Line A, Net Business Income Including Rental, or Farm Income, or (Loss). Report your 2013 net income. For information on computing the income, refer to the following federal schedules and instructions:
1.For business income, see Schedule C, Federal Form 1040, or Schedule C-EZ, Federal Form 1040;
2.For income from rental real estate, royalties, partnerships, S corporations, trusts, REMICs, etc., see Schedule E, Federal Form 1040; and
3.For farm income, see Schedule F, Federal Form 1040.
Line B, Capital Gains or (Loss). Include all income or loss resulting from the sale of stock, bonds, or real estate from Federal Forms 1099-B, 1099-S, 1099-R, 1099-DIV, or equivalents. See Schedule D, Federal Form 1040.
Line C, Other Gains or (Loss). Report all other gains or losses on tangible or intangible property not included on line A or line B. See Federal Form 4797.
Line D, Unemployment Compensation. Include all unemployment compensation received for 2013 from Box 1, Federal Form 1099-G.
Line E,Any Other Income or (Adjustments Reducing Income). Report all other income (from Federal Form 1099-MISC or other Forms 1099), taxable state income tax refunds reported on Federal Form 1099-G, and all alimony received. Report any adjustments reducing income such as moving expenses, IRA deductions, student loan interest, tuition and fees, self- employment tax and self-employment health insurance, SEP, SIMPLE, and other qualiied retirement plans, and alimony paid. Refer to the instructions for Federal Form 1040. Health expenses and health insurance premiums other than self-employment health insurance should be entered on line 10a.
Subtract the calculated adjustments from the calculated “other income” and enter the net income or loss on line E.
LINE F, Penalty on Early Withdrawal of Savings. Report your total amount of penalties for early withdrawal of savings from Box 2, Federal Form 1099-INT.
FOR MORE INFORMATION, SEE revenue.nebraska.gov/PAD, OR CALL 888-475-5101 OR 402-471-6185.
Household Income Table
Over Age 65
Percentage
Disabled Veterans & Disabled Individuals
Single
Married
of Relief
$
0 — $26,900.99
0
— $31,600.99
100%
0 — $30,300.99
— $34,700.99
26,901 —
28,300.99
31,601
—
33,200.99
85%
30,301
31,700.99
34,701
36,300.99
28,301 —
29,700.99
33,201
34,900.99
70%
31,701
33,100.99
36,301
38,000.99
29,701 —
31,100.99
34,901
36,600.99
55%
33,101
34,500.99
38,001
39,700.99
31,101 —
32,500.99
36,601
38,300.99
40%
34,501
35,900.99
39,701
41,400.99
32,501 —
34,000.99
38,301
40,000.99
25%
35,901
37,300.99
41,401
43,100.99
34,001 AND OVER
40,001
AND OVER
0%
37,301
43,101
The process of completing Form 458 Schedule I requires attention to detail and accurate reporting of income and medical expenses for either part of the fiscal year January 1 through December 31, 2013. This form is designed for those seeking a homestead exemption in Nebraska and necessitates specific information about the applicant's and, if applicable, the spouse's or other owner-occupant's financials. If you've filed a 2013 federal income tax return, you'll need to focus on Part II of the form, while those who haven't will fill out Part I. Below are the step-by-step instructions to assist you in completing this form accurately.
Following these steps ensures that your Form 458 Schedule I is filled out correctly. It is crucial to provide accurate income and expense information to properly assess eligibility for homestead exemption benefits. Double-check all entries for mistakes before submission to streamline the process.
Form 458 Schedule 1, also known as the Nebraska Schedule I — Income Statement, is a required supplement for the Nebraska Homestead Exemption Application or Certification of Status, Form 458. It is designed to report household income, including wages, social security retirement income, and other sources of income for those applying for a homestead exemption in Nebraska.
Anyone applying for a homestead exemption in Nebraska must complete the Form 458 Schedule 1. This includes reporting the combined income of both the applicant and their spouse if married, even if filing separately. Additionally, each additional owner who lived in the homestead during any part of the year must report their income on a separate schedule.
The form requires detailed information about the applicant’s income, including but not limited to:
Form 458 Schedule 1 must be attached to the Nebraska Homestead Exemption Application, Form 458, and filed with your county assessor. The filing period is after February 1 and by June 30 of the application year. It is crucial to retain a copy for your records after filing.
Medical and dental expenses paid by the applicant, spouse, or owner-occupant can be deducted, provided they are not reimbursed by insurance or paid by others. The form requires applicants to list the total medical and dental expenses paid, then calculate 4% of the total household income and subtract this from the medical and dental expenses to determine the deductible amount. These instructions aim to ensure that only the significant, unreimbursed medical and dental expenses impact the household income calculation.
When completing the Form 458 Schedule 1, it's important to navigate the process with care to ensure accuracy and compliance. However, common mistakes often occur, leading to delays or errors in processing. Here are eight common missteps to avoid:
Avoiding these common mistakes can lead to a smoother process in filing Form 458 Schedule 1. Always carefully review each section, double-check calculations, and ensure all required documents are complete and attached before submission. Remember, accuracy is key to ensuring the correct processing of your homestead exemption application.
When filing the Form 458, Schedule 1 with the Nebraska Department of Revenue, there are several other forms and documents that you might need to submit or have handy. This is because your financial situation, including income and deductions, plays a significant role in determining eligibility and the amount of benefit for which you may qualify. Below is a list of documents often used in conjunction with the 458 Schedule 1 form.
Collecting and preparing these documents before you start filling out the Form 458 and Schedule I will make the process much smoother. Each document plays a part in painting a complete picture of your financial situation, which is critical for the Nebraska Department of Revenue to assess your eligibility and calculate the homestead exemption or other benefits accurately. Always remember to check for the most current forms and updates in tax regulations that might affect your filing.
The 458 Schedule 1 form is similar to the Federal Form 1040, specifically in its requirement to report various types of income and adjustments to income. Both forms require detailed income information, including but not limited to wages, salaries, Social Security benefits, IRA distributions, and interest or dividend income. While the Federal Form 1040 serves a broader purpose, collecting information to determine one’s federal income tax liability, the Schedule 1 form is more focused on establishing eligibility for certain state-specific benefits or exemptions, like the Nebraska Homestead Exemption. However, both forms play crucial roles in ensuring that individuals accurately report their income to qualify for benefits or fulfill their tax obligations.
Another document that shares similarities with the 458 Schedule 1 form is the Federal Schedule A (Form 1040), specifically in the section regarding medical and dental expenses. Both forms require individuals to detail their medical and dental expenses to benefit from possible deductions or exemptions. On Schedule A, taxpayers itemize deductible expenses to lower their taxable income on the federal level, whereas the 458 Schedule 1 form uses these expenses to adjust household income, potentially qualifying applicants for property tax relief through the homestead exemption. These similarities highlight how both state and federal tax forms utilize personal expense reports to provide financial relief to taxpayers.
When filling out the Nebraska Department of Revenue Form 458 Schedule 1, it's essential to do it correctly to ensure that your application is processed smoothly and accurately. Here are nine dos and don'ts to help guide you through the process.
Filling out Form 458 Schedule 1 with care and diligence not only helps in the smooth processing of your application but also ensures that you are in compliance with the state requirements. Take the time to double-check your entries and follow the guidelines provided closely.
Many individuals find the Nebraska Department of Revenue's Form 458 Schedule I, the Income Statement, daunting due to a variety of misconceptions surrounding its purpose, requirements, and filing. Below are six common misconceptions explained to help clarify the process.
Misconception 1: Only those who filed a 2013 Federal Income Tax return need to complete the Form 458 Schedule I.
This is incorrect. The form is designed with two parts: Part I for those who did not file a 2013 Federal Income Tax Return, requiring information on wages, Social Security retirement income, and other sources of income; and Part II for those who did file, where information relevant to federal adjusted gross income (AGI) must be reported. This ensures all applicants, regardless of their federal tax filing status in 2013, can provide necessary income information.
Misconception 2: You should not include your spouse’s income if filing separately.
Contrary to this belief, if you were married and would have filed as married for Nebraska individual income tax purposes for 2013, you must report income for both you and your spouse, even if you filed as “married, filing separately.” Each owner-occupant’s income must be separately reported on a Schedule I form.
Misconception 3: All Social Security payments are considered income on Schedule I.
Schedule I requires the reporting of Social Security retirement income and Tier I Railroad Retirement income only. Social Security payments based on disability for applicants and spouses under their full retirement age are not to be included unless any part of the benefits is included in federal AGI. This distinction is crucial for accurately reporting income.
Misconception 4: Medical expenses are irrelevant to the Form 458 Schedule I.
Medical and dental expenses play a significant role in the calculation of household income, as shown in both parts of the form. Applicants should subtract certain medical expenses from their total income to calculate their "Household Income," which determines eligibility for relief. It's vital to note only unreimbursed expenses paid by the applicant, spouse, or owner-occupant should be included.
Misconception 5: Income from all investments should be reported.
While it's true that most forms of income must be reported, the form specifically requires the exclusion of income from certain sources such as Department of Veterans Affairs disability compensation, Supplemental Security Income (SSI), and a few others. Moreover, tax-exempt interest and dividends should be reported separately from taxable interest and dividends to ensure accurate income calculations.
Misconception 6: The form is solely for reporting purposes and does not affect property tax relief eligibility.
Form 458 Schedule I is integral to the Nebraska Homestead Exemption application process, directly impacting an applicant's eligibility for property tax relief based on household income. The data provided on Schedule I helps determine the percentage of relief the applicant qualifies for, underlining the form's importance beyond mere income reporting.
Understanding these aspects of Form 458 Schedule I can significantly ease the process of applying for the Nebraska Homestead Exemption, ensuring applicants accurately report their income and potentially qualify for property tax relief.
Understanding and completing the Form 458 Schedule 1 is essential for those applying for a Nebraska Homestead Exemption. This document, a crucial part of the exemption process, demands precision and awareness of its key requirements. Below are ten essential takeaways to guide you through filling out and using the form effectively:
By adhering to these guidelines, applicants can navigate the intricacies of Form 458 Schedule 1, ensuring that their submission is accurate and reflective of their financial status for the Nebraska Homestead Exemption application.
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