Form Nc-3 - Annual Withholding Reconciliation
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1Annual Withholding Reconciliation
Quarter Ending
N.C. Income Tax Withheld
North Carolina Department of Revenue
,
,
.
March 31
1.
File By:
February 28
,
,
.
2.
June 30
Account ID
Tax Year
,
,
.
3.
September 30
,
,
.
4.
December 31
,
,
.
5.
Total Tax Withheld
Tax Withheld Per
,
,
.
6a.
NOTE: If the
W-2 Statements
amount on
Tax Withheld Per
,
,
.
Line 5 differs
6b.
Signature:
Date:
1099 Statements
from the amount
I certify that, to the best of my knowledge, this return is accurate and complete.
on Line 7, see
Total Tax Withheld
,
,
.
instructions
7.
Per Statements
(
)
for Line 7.
Title:
Phone:
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0001
NC-3
10 - 99
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Parent category: Financial