Fillable D-400 Webfill (North Carolina)

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D-400 Webfill (North Carolina)

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The D-400 Webfill (North Carolina) form is 3 pages long and contains:

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  • 20 check-boxes
  • 69 other fields

Country of origin: US
File type: PDF

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IMPORTANT: Do not send a photocopy of this form.
For calendar year 2018, or scal year beginning and ending (MM-DD-YY)
(MM-DD)
Staple All Pages of Your Return Here
Staple W-2s Here
Married Filing Jointly
2.
SSN
Name
(Enter your spouse’s
full name and Social
Security Number)
Married Filing Separately
3.
Head of Household
4.
5.
Qualifying Widow(er) (Year spouse died:
)
Deceased Taxpayer Information
Fill in circle if return is led and signed by Executor,
Administrator, or Court-Appointed Personal Representative.
Was your spouse a resident for the entire year?
If No, complete and attach
Form D-400 Schedule PN.
Residency Status
Were you a resident of N.C. for the entire year?
Fill in circle if you or, if married ling jointly, your spouse were out of the country on April 15 and a U.S. citizen or resident.
15. North Carolina Income Tax
Multiply Line 14 by 5.499% (0.05499). If zero or less, enter a zero.
N.C. Education Endowment Fund: You may contribute to the N.C. Education Endowment Fund by making a contribution or designating some or
all of your overpayment to the Fund. To make a contribution, enclose Form NC-EDU and your payment of $ ______________________________.
To designate your overpayment to the Fund, enter the amount of your designation on Page 2, Line 31. (See instructions for information about the Fund.)
2018 Individual
Income Tax Return
D-400
AMENDED RETURN
Fill in circle (See instructions)
Single
1.
Yes No
Yes No
You must enter your
social security number(s)
Web-Fill
9-18
Your Social Security Number Spouse’s Social Security Number
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Mailing Address
Spouse’s Last Name
Your Last NameYour First Name M.I.
If a Joint Return, Spouse’s First Name M.I.
Zip Code
Country (If not U.S.)
City State County
(Enter rst ve letters)
Apartment Number
Spouse
(MM-DD-YY)
Enter date of death of deceased taxpayer or deceased spouse.
Taxpayer
(MM-DD-YY)
15.
6. Federal Adjusted Gross Income
Enter Whole U.S. Dollars Only
6.
7. Additions to Federal Adjusted Gross Income
(From Form D-400 Schedule S, Part A, Line 6)
7.
8. Add Lines 6 and 7 8.
9. Deductions from Federal Adjusted Gross Income
(From Form D-400 Schedule S, Part B, Line 14)
9.
11. N.C. Standard Deduction OR N.C. Itemized Deductions
(Fill in one circle only. See Form D-400 Schedule S, Part C.)
11.
Add Lines 9, 10b, and 11. Subtract the total from Line 8.12. 12.
Part-year Residents and Nonresidents Taxable Percentage
(From Form D-400 Schedule PN, Line 24. Enter amount as decimal.)
13.
13.
North Carolina Taxable Income
Full-year residents enter the amount from Line 12.
Part-year residents and nonresidents multiply amount on Line 12 by
the decimal amount on Line 13.
14.
14.
Filing Status
(Fill in one circle only)
Is your spouse a veteran?
Yes No
Yes No
Veteran Information
Are you a veteran?
(See Instructions)
10.
10b.
Child Deduction (On Line 10a, enter the number of dependent
children for whom you were allowed a federal child tax credit. On
Line 10b, enter the amount of the child deduction. See instructions.)
10a.
18
OTHER THAN YOUR SIGNATURE, DO NOT HANDWRITE ON THIS FORM
4
PRINT
✖
CLEAR
OTHER THAN YOUR SIGNATURE, DO NOT HANDWRITE ON THIS FORM
Page 2
D-400 Web-Fill
9-18
Last Name (First 10 Characters)
Your Social Security Number
2018
Tax Year
Add Lines 29 through 3233.
Subtract Line 33 from Line 28. This is the Amount To Be Refunded
For direct deposit, le electronically
34.
19. Add Lines 17 and 18
18. Consumer Use Tax (See instructions)
If you certify that no Consumer
Use Tax is due, ll in circle.
Subtract Line 16 from Line 1517.
16. Tax Credits (From Form D-400TC, Part 3, Line 19)
Other Tax Payments21. a. 2018 estimated tax
c. Partnership
20. North Carolina
Income Tax Withheld
Total Due - Add Lines 26a, 26d, and 26e
Pay in U.S. Currency from a Domestic Bank - You can pay
online at www.ncdor.gov.
27.
Overpayment - If Line 19 is less than Line 25,
subtract Line 19 from Line 25.
28.
30. Contribution to the N.C. Nongame and Endangered Wildlife Fund
Amount of Line 28 to be applied to 2019 Estimated Income Tax29.
a. Tax Due - If Line 19 is more than Line 25, subtract Line 25 from Line 19.
Otherwise, go to Line 28.
26.
(Add Lines 26b
and 26c and
enter the total
on Line 26d.)
b. Penalties
e. Interest on the Underpayment of Estimated Income Tax
(See instructions and enter letter in box, if applicable.)
Contribution to the N.C. Education Endowment Fund31.
Subtract Line 24 from Line 23. (If less than zero, see instructions.)25.
Amended Returns Only - Previous refunds (See “Amended Returns” in instructions)24.
Total Payments - Add Lines 20a through 2223.
Amended Returns Only - Previous payments (See “Amended Returns” in instructions)22.
When ling an amended return, see instructions.
Contribution to the N.C. Breast and Cervical Cancer Control Program32.
33.
34.
19.
18.
17.
16.
27.
$
28.
30.
29.
26e.
26a.
26d.
31.
25.
24.
23.
22.
32.
a. Your tax withheld
b. Paid with extension
d. S Corporation
b. Spouse’s tax withheld
If you claim a
partnership payment
on Line 21c or S
corporation payment
on Line 21d, you must
attach a copy of the
NC K-1.
c. Interest
Exception to
Underpayment
of Estimated
Tax
I certify that, to the best of my knowledge, this return is accurate and complete.
Contact Phone Number
(Include area code)
Paid Preparer’s Signature
Date
If prepared by a person other than taxpayer, this certication is based on all
information of which the preparer has any knowledge.
Check here if you authorize the North Carolina Department of Revenue to
discuss this return and attachments with the paid preparer below.
If REFUND, mail return to: N.C. DEPT. OF REVENUE, P.O. BOX R, RALEIGH, NC 27634-0001
If you ARE NOT due a refund, mail return, any payment, and D-400V to: N.C. DEPT. OF REVENUE, P.O. BOX 25000, RALEIGH, NC 27640-0640
Y o u r S i g n a t u r e
Date
Spouse’s Signature (If ling joint return, both must sign.) Date
PAID
PREPARER
USE ONLY
Preparer’s FEIN, SSN, or PTIN Preparer’s Contact Phone Number (Include area code)
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D-400 Webfill (North Carolina)

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Completed 16 July 2020

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