Form Nc-5 - Withholding Return Form

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You can file this return
e-File
Filing Frequency:
Withholding Return
e-Pay
and pay the tax online at
Period Ending
File By
North Carolina Department of Revenue
Click on
Electronic Services.
Account ID:
This return must be filed even if no tax has been withheld.
Use the return only for the Period Ending date specified above.
.
,
,
If address is incorrect, complete NC-AC, Business Address Correction.
1.
Tax Withheld
00
.
,
,
2. Penalty
00
.
,
,
3.
Interest
00
.
,
,
$
4. Total Due
00
(Add Lines 1, 2, and 3)
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
(
)
Phone:
Title:
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0615
NC-5
8-06

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