FORM D--407, Page 2
SCHEDULE A -- NORTH CAROLINA FIDUCIARY ADJUSTMENTS (see page 2 of the instructions)
Additions to federal taxable income if not included in taxable income reported on the federal income tax return for estates and trusts (see instructions)
00
1
1. Interest income from obligations of states other than North Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
2
2. State, local or foreign income taxes deducted on the federal return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
3. Lump--sum distributions from a qualified pension, profit sharing, or stock bonus plan . . . . . . . . . . . . . . . . . . . .
3
00
4
4. Other additions to federal taxable income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
5. Total additions to federal taxable income (add lines 1 through 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Apportion the total additions on line 5 between the beneficiaries and the fiduciary in Schedule B, Column (c) below (see instructions)
Deductions from federal taxable income if included in taxable income reported on the federal income tax return for estates and trusts (see instructions)
6. Interest income from U.S. obligations or its possessions, North Carolina or its political
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subdivisions, or nonprofit educational institutions located in North Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
00
7. Taxable portion of Social Security and Railroad Retirement benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8. Federal, state, or local government retirement benefits exclusion
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(not to exceed $4,000) -- See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
9. Private retirement benefits exclusion (not to exceed $2,000) . . . . . . . . . . . . . . . . . .
9
00
10. Add lines 8 and 9 and enter the total here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
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11. Enter the amount from line 10 or $4,000, whichever is less . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
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12
12. State, local, or foreign income tax refunds reported as income on federal return . . . . . . . . . . . . . . . . . . . . . . . .
00
13
13. Other deductions from federal taxable income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
14. Total deductions from federal taxable income (add lines 6 and 7 and 11 through 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
Apportion the total deductions on line 14 between the beneficiaries and the fiduciary in Schedule B, Column (d) below (see instructions)
SCHEDULE B -- ALLOCATION OF ADJUSTMENTS (see page 2 of the instructions)
Column (a)
Column (b)
Column (c)
Column (d)
NAME OF BENEFICIARY
SS #
ADDITIONS
DEDUCTIONS
00
00
1
00
00
2
00
00
3
00
00
4
00
00
5
00
00
6
00
00
7
00
00
8
00
00
9
Fiduciary
The information from Schedule B should be furnished to each beneficiary showing his portion of the additions and deductions
to be used in filing his North Carolina individual income tax return.
The amounts in columns (c) and (d) should be reported by the beneficiaries as adjustments to federal taxable income.