Amended North Carolina Individual Income Tax Return
ADVERTISEMENT
1
2
3Amended North Carolina
D-400X
Web
Individual Income Tax Return
11-08
This return is for taxable year
If changes to this return are applicable to your federal return, include a copy of Federal Form 1040X.
Your first name and middle initial
Your last name
Your Social Security No.
If a joint return, spouse’s first name and middle initial
Spouse’s last name
Spouse’s Social Security No.
Address
Daytime Telephone Number
(
)
City, town or post office, state and zip code
County
Office Use Only
Enter below name and address shown on original return if different from name and address shown above
Has your original return for this taxable
Yes
No
year been changed or audited?
If “No,” have you been notified
Yes
No
that it will be?
Filing status claimed. Note: You cannot change from joint to separate returns after the due date of the original return has passed.
On original return
Single
Married filing joint return
Married filing separate return
Head of household
Qualifying widow(er)
On this return
Single
Married filing joint return
Married filing separate return
Head of household
Qualifying widow(er)
Correction of Taxable Income and Tax Payments
A. As originally reported
B. Net change - Increase
(See instructions on reverse)
or as previously adjusted
or (Decrease) - explain
C. Correct Amount
(see instructions)
on page 2
1.
Taxable income from your federal income tax return
1.
Additions to federal taxable income
2.
(If you are making a change on this line, attach a
2.
corrected copy of the applicable page of Form D-400 to verify the amount in column C.)
Add lines 1 and 2
3.
3.
4.
Deductions from federal taxable income
(If you are making a change on this line, attach
a corrected copy of the applicable page of Form D-400 to verify the amount in column C.)
4.
Line 3 minus line 4
5.
5.
.
6.
North Carolina taxable income
(Decimal amount as corrected) (If you
6a.
are making a change to the decimal amount on Line 6a, attach a corrected
6.
copy of the applicable page of Form D-400 to verify the change.)
7.
North Carolina income tax
(Use applicable Tax Rate Schedule on Page 3)
7.
8.
Tax Credits from Form D-400
(Do not include the earned income tax credit on this line)
(Attach Form D-400TC if changing tax credits claimed previously)
8.
9.
Line 7 minus line 8
9.
10.
Consumer Use Tax
(If applicable)
10.
11.
Add lines 9 and 10
11.
a. Your tax withheld
12a.
12.
North Carolina income tax withheld
b. Spouse’s tax withheld
12b.
13.
Other tax payments
13.
14. North Carolina Earned Income Tax Credit
(Important: The earned income tax credit is applicable only for amended returns filed
14.
for tax years beginning on or after January 1, 2008.)
15.
Amount paid with original return plus additional tax paid after it was filed
15.
16.
Total payments. Add lines 12a through 15 in column C
16.
17.
Total of all previous refunds received for this taxable year
17.
18.
Line 16 minus line 17
18.
19.
If line 11, column C is more than line 18, enter the difference here
19.
20.
Interest due
(See instructions)
20.
21.
Add lines 19 and 20 and enter the total - Pay This Amount
21.
22.
If line 11, column C is less than line 18, enter the difference as Amount To Be Refunded
22.
I certify that, to the best of my knowledge, this return is accurate and complete.
If prepared by a person other than taxpayer, this certification is based on all
information of which the preparer has any knowledge.
Sign
Your Signature
Date
Paid Preparer’s Signature
Date
Here
(
)
Spouse’s Signature (If filing joint return, both must sign)
Date
Paid Preparer’s FEIN, SSN, or PTIN
Preparer’s Telephone Number
Mail to:
N.C. DEPT. OF REVENUE, P.O. BOX 25000, RALEIGH, NC 27640-0640
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial