Instructions For Form Nc-5px Amended Withholding Payment Voucher
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1Instructions for Form NC-5PX
Amended Withholding Payment Voucher
For Semiweekly Payers
Form NC-5PX is to be used by semiweekly payers who underpaid the tax for a previous
period. If you discover that you underpaid the tax for a previous period, complete Form
NC-5PX and include the tax and interest with the voucher. If you overpaid the tax withheld for
a prior payday, you may reduce the payment of the tax withheld for a subsequent payday by
that amount, if both paydays are in the same quarter. If you do not make an adjustment for the
overpayment during the quarter, the overpayment will be reflected on Form NC-5Q, Quarterly
Income Tax Withholding Return.
Be sure to enter the date the compensation was paid. Also enter the legal name, account ID,
and Federal Employer Identification Number (FEIN) or Social Security Number (SSN). Use
capital letters when entering the legal name and address.
Please do not fold, staple, tape, or paper clip the voucher or payment.
Use blue or black ink to complete the voucher.
Make check payable in U.S. currency to N.C. Department of Revenue.
Cut return on line below and mail it with your payment to the address on the return.
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Cut Here
Amended Withholding Payment Voucher
Use this form only if you owe additional tax.
North Carolina Department of Revenue
Use Form NC-5Q to request a refund.
Account ID
FEIN or SSN
Enter Date Compensation Paid
(M M -DD-YY)
USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS
,
,
.
Legal Name (First 23 Characters)
1.
Additional Tax
00
,
,
.
Street Address
2.
Interest
00
$
City
State
Zip Code (5 Digit)
,
,
.
3.
Total Due
00
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
NC-5PX
(
)
Phone:
5-05
Title:
Web
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0050
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