Form D-400 Tc - 2001 Individual Tax Credits - Sate Of North Carolina

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1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4
2001 Individual Tax Credits
IMPORTANT
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4
D-400TC
Do not send a photocopy of this form.
North Carolina Department of Revenue
The original form is printed in
pink and black ink.
See instructions beginning on Page 12.
If you claim a tax credit on Line 14 of Form D-400, you must attach this form to the return. If you do not, the tax credit may be disallowed.
Your Social Security Number
Last Name (First 10 Characters)
Part 1. Credit for Income Tax Paid to Another State or Country - N.C. Residents Only
(Attach a copy of the return filed with the other state or country and proof of payment. Important: If credit is claimed for tax paid to more than one state or
country, do not fill in Lines 1 through 6; instead, see instructions on Page 12.)
1. Total income (combined for joint filers) from Federal Form 1040, Line 22; 1040A, Line 15;
Enter Whole U.S. Dollars Only
1040EZ, Line 4; or TeleFile Tax Record, Line I, while a resident of North Carolina,
,
,
.
adjusted by the applicable additions shown on Lines 35 through 37 and deductions shown
1.
00
on Lines 39 through 44. Do not make an adjustment for any portion of Line 37 or 44 that
does not relate to gross income. (If Line 1 is negative, fill in circle)
,
,
.
2. The portion of Line 1 that was taxed by another state or country
2.
00
.
3.
3. Divide Line 2 by Line 1 and enter the result as a decimal amount (Round to two decimal places)
,
,
.
4. North Carolina income tax (From Form D-400, Line 13)
4.
00
,
,
.
5. Computed credit (Multiply Line 3 by Line 4)
5.
00
,
,
.
6.
Amount of net tax paid to the other state or country on the income shown on Line 2
6.
00
(See instructions for definition of net tax paid)
,
,
.
7a.
7a. Enter the lesser of Line 5 or Line 6 and include in the total on Line 19, Part 4
00
7b.
7b. Enter in the box the number of states for which credits are claimed
Part 2. Credit for Child and Dependent Care Expenses
,
.
8. Enter the expenses from Line 3 of Federal Form 2441 or Line 3 of Schedule 2, Part II, Form 1040A (For other qualifying
8.
00
expenses that may be included on this line, see Credit for Child and Dependent Care Expenses on Page 12)
,
.
9. Enter the portion of Line 8 that was incurred for dependent(s) who were under the age of seven
9.
00
and dependent(s) who were physically or mentally incapable of caring for themselves
.
10. Credit (Use the Child and Dependent Care Credit Table on Page 12. Multiply the amount on Line 9 by the
10.
00
applicable decimal amount in Column A of the table and enter the result here)
,
.
11. Other qualifying expenses (Line 8 minus Line 9)
11.
00
.
12. Credit (Use the Child and Dependent Care Credit Table on Page 12 of the instructions. Multiply the
12.
00
amount on Line 11 by the applicable decimal amount in Column B of the table and enter the result here)
.
13.
Total credit for child and dependent care expenses (Line 10 plus Line 12). Full-year residents enter this amount
13.
00
here and on Line 15 below
.
14. Nonresidents and part-year residents multiply the amount on Line 13 of this form by the decimal amount from
00
14.
Form D-400, Line 10b and enter the result here and on Line 15. If Line 10b is more than 1.00, enter the amount
from Line 13 here and on Line 15
.
15. Total credit for child and dependent care expenses from Line 13 or Line 14 (Include the amount on this line in the
15.
00
total on Line 19, Part 4)

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