Form D-400 - Individual Income Tax Return - 2016
ADVERTISEMENT
1
2D-400
Individual Income
Tax Return 2016
AMENDED RETURN
Fill in circle. (See instructions.)
IMPORTANT: Do not send a photocopy of this form. The original form is printed in pink and black ink.
1 6
For calendar year 2016, or fiscal year beginning
and ending
(MM-DD)
(MM-DD-YY)
Your Social Security Number
Spouse’s Social Security Number
You must enter your
social security number(s).
Your First Name
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
M.I.
Your Last Name
If a Joint Return, Spouse’s First Name
M.I.
Spouse’s Last Name
Mailing Address
Apartment Number
City
State
Zip Code
Country (If not U.S.)
County
(Enter first five letters)
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.
Fill in circle if you or your spouse were out of the country on April 15 and a U.S. citizen or resident.
Enter date of death of deceased taxpayer or deceased spouse.
Deceased Taxpayer Information
Fill in circle if return is filed and signed by Executor,
Taxpayer
Spouse
(MM-DD-YY)
(MM-DD-YY)
Administrator or Court-Appointed Personal Representative.
If No, complete Lines 1 through 12. Then go to
Were you a resident of N.C. for the entire year of 2016?
Yes
No
Residency Status
Part D of Schedule S. Fill in residency information
Was your spouse a resident for the entire year?
Yes
No
and complete Lines 24 through 26.
Did you claim the standard deduction on your 2016 federal return?
Yes
No
Are you a veteran?
Yes
No
Veteran Information
(See Instructions.)
Is your spouse a veteran?
Yes
No
1.
Fill in one circle only. (See instructions.)
Single
Print in Black or Blue Ink Only. No Pencil or Red Ink.
2.
Married Filing Jointly
Name
(Enter your spouse’s
3.
Married Filing Separately
full name and Social
Security Number.)
SSN
4.
Head of Household
5.
Qualifying Widow(er) with Dependent Child
Enter Whole U.S. Dollars Only
)
(Year spouse died:
,
,
.
6.
6. Adjusted gross income from your federal return
00
If amount on
(If negative, see instructions.)
Line 6, 8, 10,
,
,
.
7. Additions to federal adjusted gross income
12, or 14 is
7.
00
(From Line 6 of Form D-400 Schedule S, Part A)
negative, fill in
,
,
.
circle.
8. Add Lines 6 and 7.
8.
00
Example:
,
,
.
9. Deductions from federal adjusted gross income
9.
00
(From Line 14 of Form D-400 Schedule S, Part B)
,
,
.
10. Subtract Line 9 from Line 8.
10.
00
11.
N.C. standard deduction
OR
N.C. itemized deductions
,
,
.
Fill in one circle only. (If itemizing, complete Part C of Form D-400
11.
00
Schedule S, and enter the amount from Line 23.)
,
,
.
12.
00
12.
Subtract Line 11 from Line 10.
.
13.
Part-year residents and nonresidents
13.
(From Line 26 of Form D-400 Schedule S, Part D)
14.
North Carolina Taxable Income
,
,
.
Full-year residents enter the amount from Line 12.
14.
00
Part-year residents and nonresidents multiply amount on Line 12 by the
decimal amount on Line 13.
,
,
.
15. North Carolina Income Tax
15.
To calculate your tax, multiply Line 14 by 5.75% (0.0575). If Line 14 is
00
negative, enter -0- on Line 15.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial