Form Nc-Ra - Required Attachments For Electronic Filing - North Carolina Department Of Revenue

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Required Attachments for Electronic Filing
NC-RA
North Carolina Department of Revenue
10-03
For calendar year
or other tax year or period beginning (MM/DD/YY)
and ending (MM/DD/YY)
Individual Income Tax
Individual’s First Name (USE CAPITAL LETTERS )
M.I.
Individual’s Last Name
(USE CAPITAL LETTERS )
Individual’s Social Security Number
Spouse’s First Name (If filing joint return)
M.I.
Spouse’s Last Name (If filing joint return)
Spouse’s Social Security Number (If filing joint return)
Sales and Use Tax / Other
Entity’s Legal Name
(USE CAPITAL LETTERS )
Account ID
Purpose: Form NC-RA serves as a transmittal form for supporting documentation for certain tax credits and deductions that
are claimed on your electronically filed North Carolina individual or business tax return. You should mail Form NC-RA with the
required attachments to the address at the bottom of this page within 48 hours after filing your return.
The tax credits or deductions that require additional information are listed below. See Page 2 for a description of the required
documentation for each item. If you have questions, call 1-877-252-3052 (toll-free).
Fill in applicable circle below to indicate the tax schedule for which additional information is provided:
Individual Income Tax
Credit for new and expanding businesses (William S. Lee Tax Credits)
Credit for tax paid to another state or country
Credit for construction of handicapped dwelling unit
Credit for certain real property donations
Credit for disabled dependent or spouse
Credit for property taxes paid on farm machinery
Credit for North Carolina State Ports Authority wharfage, handling, and throughput charges
Credit for qualified business investments
Retirement deduction due to the Bailey Decision
Sales and Use Tax
Credit claimed on Form E-500
Other ________________________________________________________
Mail to:
North Carolina Department of Revenue
P. O. Box 25000
Raleigh, North Carolina 27640-0001

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