Form D-400 - Individual Income Tax Return - North Carolina Department Of Revenue - 1998
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1
2NORTH CAROLINA
- -
D 400
INDIVIDUAL INCOME TAX RETURN
(resident or nonresident)
98, ending
99
For the year January 1 -- December 31, 1998, or other tax year beginning
Your first name and initial
Last name
Your Social Security Number
If a joint return, spouse’ s first name and initial
Last name
Spouse’ s Social Security Number
PLEASE
PRINT OR
Present home address
Office Use Only
TYPE.
City, town, or post office, state and zip code
County
Is this the first time you (or your spouse, if filing jointly) have filed a North Carolina tax return?
Yes
No
Not answering correctly
If you filed a return last year, is the name(s), address and/or filing status on this return different from last year’ s return?
may delay processing of
Yes
No
your return.
Do you wish to designate $1 to this fund? If so, check
1
2
3
4
N.C. POLITICAL PARTIES
You
Democratic
Republican
Libertarian
Unspecified
appropriate block. Note: Marking a box will not increase
FINANCING FUND
your tax or reduce your refund.
Your Spouse
Democratic
Republican
Libertarian
Unspecified
Were you a resident of N.C. for the entire year 1998?
Yes
No
Was your spouse a resident for the entire year? Yes
No
If not, complete lines 42 through 46.
CHECK THE SAME FILING STATUS YOU CHECKED ON YOUR FEDERAL RETURN. IF YOUR SPOUSE WAS A NONRESIDENT AND HAD NO NORTH CAROLINA TAXABLE INCOME IN 1998, SEE
THE LINE INSTRUCTIONS FOR LINES 1 THROUGH 5. (IF YOU DO NOT INDICATE YOUR FILING STATUS BY CHECKING ONE OF THE BOXES, PROCESSING OF YOUR RETURN MAY BE DELAYED.)
FILING STATUS:
1
SINGLE
2
MARRIED FILING JOINTLY
3
MARRIED FILING SEPARATELY
Name:
(Enter spouse’ s full name and social security no.)
4
SS#:
HEAD OF HOUSEHOLD
5
OFFICE USE
QUALIFYING WIDOW(ER) WITH DEPENDENT CHILD
(Year spouse died:
)
"
Enter the NUMBER OF EXEMPTIONS claimed on your federal tax return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TAXABLE INCOME FROM YOUR FEDERAL INCOME TAX RETURN----Form 1040, line 39; Form 1040A, line 24;
6
00
F
Form 1040EZ, line 6; or TeleFile Tax Record, Line J (If zero, see line instructions)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
F
You must complete the ADDITIONS TO FEDERAL TAXABLE INCOME section on lines 25 through 34 on page
7
00
F
2 of this form and enter the amount from line 34 (See instructions on page 7)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
00
8
ADD lines 6 and 7 and enter the total here
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9
DEDUCTIONS FROM FEDERAL TAXABLE INCOME----If applicable, complete lines 35 through 41 on page 2 of this
00
F
form and enter the amount from line 41 (See instructions on page 9)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
10
SUBTRACT line 9 from line 8 and enter the result here
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10
11
NORTH CAROLINA TAXABLE INCOME---- (Full--year residents----enter the amount from line 10 on line 11b.
Part--year residents and nonresidents----complete lines 42 through 46 on page 2 of this form.
F
Enter the decimal amount from line 46 on line 11a
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11a
S
00
Multiply the amount on line 10 by the decimal amount on line 11a and enter the result here)
. . . . . . . . . . . . . . . . . . . . . . . . .
11b
12
NORTH CAROLINA INCOME TAX----If the amount on line 11b is less than $50,000, use the TAX TABLE beginning
on page 13 of the instructions to determine your tax. If the amount on line 11b is $50,000 or more,
00
use the Tax Rate Schedule on page 19 to figure your tax
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
F
00
13
NORTH CAROLINA INCOME TAX WITHHELD:
a Your tax withheld
. . . . . . . . . . . . . . . . . . . . .
13a
(Attach original State copy of each
F
00
wage and tax statement)
b Spouse’ s tax withheld
. . . . . . . . . . . . . . .
13b
14
OTHER TAX PAYMENTS: (Enter applicable amounts and enter total on line 14e)
a 1998 Estimated tax
00
b Paid with extension
00
F
F
00
00
00
c Partnership
. . . . . . .
d S corporation
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14e
F
F
15
TAX CREDITS----Enter the amount from Part V, line 35 of Form D--400TC.
00
F
(You must attach Form D--400TC to your return if you claim a tax credit on this line)
. . . . . . . . . . .
15
00
16
ADD lines 13a, 13b, 14e and 15 and enter the total here
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
00
F
17 a If line 12 is more than line 16, subtract and enter the result
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17a
[Exceptions to
00
F
b Underpayment of estimated income tax penalty (see instructions)
17b
F
the penalty]
00
c Other penalties and interest (see instructions)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17c
00
18 Add lines 17a, 17b, and 17c and enter the total --
PAY THIS AMOUNT
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
00
19 If line 12 is less than line 16, subtract and enter the
OVERPAYMENT
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
00
F
20 Amount of line 19 to be applied to
1999 ESTIMATED INCOME TAX
. . . . . . . . . . . . . . . . . . . . . . . . .
20
00
F
F
21 Contribution to the
NC NONGAME AND ENDANGERED WILDLIFE FUND
. . . . . . . . . . . . . . . . . .
21
00
F
22 Contribution to the
NORTH CAROLINA CANDIDATES FINANCING FUND
. . . . . . . . . . . . . . . . . .
22
00
23 ADD lines 20, 21 and 22 and enter the total here
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
00
F
24 SUBTRACT line 23 from line 19 and enter the
AMOUNT TO BE REFUNDED
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