Form D-403 - Partnership Income Tax Return

Form D-403 - Partnership Income Tax Return - 2001 Page 4

Page 4

Legal Name (First 10 Characters)

Federal Employer ID Number

D-403

2001

Part 4. North Carolina Adjustments to Federal Taxable Income

(See instructions.)

Additions to Federal Taxable Income

1. Interest income from obligations of states other than North Carolina

2. State, local, or foreign income taxes deducted on the federal return

3. Other additions to federal taxable income (See instructions)

4. Total additions to federal taxable income (Add lines 1, 2, and 3 and enter total here and on Part 1, Line 4)

Deductions from Federal Taxable Income

5. Interest income from obligations of the United States, United States’ possessions, or the State of North Carolina

6. State, local, or foreign income tax refunds reported as income on federal return

7. Other deductions from federal taxable income (See instructions)

8. Total deductions from federal taxable income (Add Lines 5, 6, and 7 and enter total here and on Part 1, Line 6)

Tax Rate Schedule

If the amount of each nonresident partner’s share

of N.C. taxable income (from Part 3, Line 16) is more than

But not over

The tax is

$12,750

6% of the taxable income

$12,750

$60,000

$765 + 7% of taxable income over $12,750

$60,000

$120,000

$4,072.50 + 7.75% of taxable income over $60,000

$120,000

- - - -

$8,722.50 + 8.25% of taxable income over $120,000

I certify that, to the best of my knowledge, this return is accurate and complete.

If prepared by a person other than the managing partner, this certification is based on all

information of which preparer has any knowledge.

Signature of Managing Partner

Date

Signature of Preparer Other than Managing Partner

Date

(

)

Telephone Number (See instructions.)

Address

If entity is an LLC and it converted to an LLC during the tax year, enter entity name prior to conversion:

MAIL TO: North Carolina Department of Revenue, P.O. Box 25000, Raleigh, North Carolina 27640-0645

Form D-403 - Partnership Income Tax Return - 2001 Page 4

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