Form D-400 - Individual Income Tax Return - 2009 Page 2
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Last Name (First 10 Characters)
Tax Year
Your Social Security Number
2009
D-400 Web
9-09
Be sure to sign and date your return on Page 4.
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11.
Enter amount from Line 10
If amount on
11.
00
Line 11 or 13 is
negative,
12.
Part-year residents and nonresidents
.
fill in circle.
Complete Lines 54 through 56 on Page 4 and enter decimal amount from Line 56
12.
Example:
13. North Carolina Taxable Income
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Full-year residents enter the amount from Line 11
13.
00
Part-year residents and nonresidents multiply amount on Line 11 by the decimal amount on Line 12
14. North Carolina Income Tax -
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,
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If the amount on Line 13 is less than $68,000, use the Tax
14.
Table beginning on Page 17 of the instructions to determine your tax. If the amount on Line 13
00
is $68,000 or more, use the Tax Rate Schedule on Page 25 to calculate your tax.
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15.
Surtax - If North Carolina Taxable Income, Line 13, exceeds $50,000, see
15.
00
instructions on Page 28 to determine the amount to enter here.
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16.
Total North Carolina Income Tax (Add Lines 14 and 15)
16.
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17.
Tax Credits
(From Form D-400TC, Part 4, Line 36 - You must attach Form D-400TC
17.
00
if you enter an amount on this line)
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18.
18.
Subtract Line 17 from Line 16
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19. Consumer Use Tax
19.
(See instructions on Page 7)
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20.
Add Lines 18 and 19
20.
00
21.
North Carolina Income Tax Withheld
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(Staple original or copy of
21a.
a. Your tax withheld
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the original State wage and
tax statement(s) in lower left-
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hand corner of the return)
21b.
b. Spouse’s tax withheld
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22.
Other Tax Payments
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a. 2009 Estimated Tax
22a.
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b. Paid with Extension
22b.
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c. Partnership
22c.
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If you claim a partnership payment
on Line 22c or S corporation
payment on Line 22d, you must
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attach a copy of the NC K-1.
d. S Corporation
22d.
00
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23.
North Carolina Earned Income Tax Credit
23.
00
(From Form D-400TC, Part 5)
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24.
Add Lines 21a through 23 and enter the total on Line 24
24.
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25.
a. Tax Due - If Line 20 is more than Line 24, subtract and enter the result
25a.
00
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b. Penalties and interest
(See Line instructions)
25b.
00
Exception to
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c. Interest on the underpayment of estimated income tax
underpayment
25c.
00
(See Line instructions and enter letter in box, if applicable)
of estimated tax
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$
26.
Add Lines 25a, 25b, and 25c and enter the total - Pay This Amount
26.
00
You can now pay online. Go to our website and click on Electronic Services for details.
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27.
Overpayment - If Line 20 is less than Line 24, subtract and enter the result
27.
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28.
Amount of Line 27 to be applied to 2010 Estimated Income Tax
28.
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29. Contribution to the N.C. Nongame and Endangered Wildlife Fund
29.
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30.
Add Lines 28 and 29
30.
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31.
Subtract Line 30 from Line 27 and enter the Amount To Be Refunded
31.
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For a faster refund, file electronically. Go to our website and click on efile.
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