Form Nc-40 - Individual Estimated Income Tax - North Carolina Department Of Revenue Page 2

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Page 2
Worksheet for Computation of Estimated N.C. Income Tax
1.
___________
1.
Estimated Federal Taxable Income..............................................................................................................................
2.
Estimated Additions to Federal Taxable Income - including, but not limited to, interest income from obligations
of states other than N.C.; state income tax deduction; standard deduction and personal exemption adjustments.
2.
___________
(See Individual Income Tax Instructions for Form D-400)......................................................................................................
3.
___________
3.
Add Lines 1 and 2 and enter the total..............................................................................................................................................
4.
Estimated Deductions from Federal Taxable Income - including, but not limited to, interest income from
obligations of the U. S. or its possessions; public or private retirement pay exclusions; taxable amount of social security and
railroad retirement benefits; state tax refund if included in federal income (See Individual Income Tax Instructions for Form
4.
___________
D-400)....................................................................................................................................................................................
5.
___________
5.
Estimated North Caroli na Taxable Income (Line 3 minus Line 4)......... ................... ..............................
6.
___________
6.
Amount of Tax - Use the tax rates shown below...................................................................................................
7.
A. Estimated N.C. Tax to be withheld........................................................................................................... A. ___________
B. Estimated Tax Credits................................................................................................................................ B. ___________
8.
___________
8.
Add lines 7A and 7B......................................................................................................................................................
9.
Estimated Income Tax (Line 6 minus Line 8) If $1, 000 or more, fill out and mail the estimated income
9.
___________
tax form along with your payment; if less than $1,000, no payment is required at this time....................................................
10.
If the first payment you are required to make is due April 15th, enter 1/4 of Line 9 here and in the space marked “Amount
10.
___________
of this Payment” on Form NC-40. Round off cents to the nearest whole dollar...................................................................
Tax Rates
Single
Head of Household
$
0
$ 12,750
6%
$
0
$ 17,000
6%
12,750
60,000
$ 765 + 7% of the amount over $12,750
17,000
80,000
$ 1,020 + 7% of the amount over $17,000
60,000
120,000
$ 4,072.50 + 7.75% of the amount over $60,000
80,000
160,000
$ 5,430 + 7.75% of the amount over $80,000
120,000
---------
$ 8,722.50 + 8.25% of the amount over $120,000
160,000
---------
$ 11,630 + 8.25% of the amount over $160,000
Married Filing Jointly / Qualifying Widow(er)
Married Filing Separately
$
0
$ 21,250
6%
$
0
$ 10,625
6%
21,250
100,000
$ 1,275 + 7% of the amount over $21,250
10,625
50,000
$ 637.50 + 7% of the amount over $10,625
100,000
200,000
$ 6,787.50 + 7.75% of the amount over $100,000
50,000
100,000
$ 3,393.75 + 7.75% of the amount over $50,000
200,000
---------
$ 14,537.50 + 8.25% of the amount over $200,000
100,000
---------
$ 7,268.75 + 8.25% of the amount over $100,000
Individual Estimated Income Tax
NC-40
North Carolina Department of Revenue
For calendar year
or other tax year:
9 - 00
Complete spouse’s information if you and your spouse plan to file a joint return.
Enter Year
Your Social Security Number
Spouse’s Social Security Number
Beginning
(MM-DD-YY)
Ending
Your First Name
M.I.
Spouse’s First Name
M.I.
(MM-DD-YY)
Your Last Name
Spouse’s Last Name
Amount of this Payment
$
,
,
.
00
Address
City
County
State
Zip Code
Country (If not U.S.)
(Enter first 5 letters)
Mail this form with your check or money order in U.S. currency to:
N.C. Department of Revenue, P.O. Box 25000, Raleigh, N.C. 27640-0630.
Do not fold, tape, or staple this return or your check. Do not send cash.

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