Form D-403 Draft - Partnership Income Tax Return - 2012 Page 4
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Legal Name (First 10 Characters)
Federal Employer ID Number
D-403
2012
Part 4. North Carolina Adjustments to Income
(See instructions.)
Additions to Income
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1. Interest income from obligations of states other than North Carolina
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2. State or local income taxes deducted on the federal return
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3. Adjustment for Bonus Depreciation
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4. Other additions to income (See Form D-401, Individual Income Tax Instructions, for other additions
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that may be applicable to partnerships)
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5. Total additions to income (Add Lines 1 through 4 and enter total here and on Part 1, Line 4)
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Deductions from Income
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6. Interest income from obligations of the United States or United States’ possessions
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7. State, local, or foreign income tax refunds reported as income on federal return
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8. Adjustment for bonus depreciation added back in 2008, 2009, 2010, and 2011
(Add Lines 8a, 8b, 8c, and 8d enter on Line 8e)
8a. 2008
8b. 2009
8c. 2010
8d. 2011
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8e.
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9. Other deductions from income (See Form D-401, Individual Income Tax Instructions, for other deductions that
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may be applicable to partnerships)
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10. Total deductions from income (Add Lines 6, 7, 8e, and 9 and enter total here and on Part 1, Line 6)
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Tax Rate Schedule
If the amount of each nonresident
partner’s share of N.C. taxable income
(from Part 3, Line 17) is more than
But not over
The tax is
$0
$12,750
6% of the taxable income
$12,750
$60,000
$765 + 7% of taxable income over $12,750
$60,000
- - - -
$4,072.50 + 7.75% of taxable income over $60,000
If prepared by a person other than the managing partner, this certification is based on
I certify that, to the best of my knowledge, this return is accurate and complete.
all information of which preparer has any knowledge.
Signature of Managing Partner
Date
Signature of Preparer Other Than Managing Partner
Date
Address
Daytime Telephone Number (Include area code)
Preparer’s Daytime Telephone Number (Include area code)
If entity is an LLC and it converted to an LLC during the tax year, enter entity name prior to conversion:
MAIL TO: North Carolina Department of Revenue, P.O. Box 25000, Raleigh, North Carolina 27640-0645
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