Form D-403 - Partnership Income Tax Return - 2016 Page 4

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Page 4
Legal Name (First 10 Characters)
Federal Employer ID Number
D-403
Web-Fill
7-16
Part 4. North Carolina Adjustments to Income
(See instructions)
Additions to Income
1. Interest income from obligations of states other than North Carolina
1.
2. State, local, or foreign income taxes deducted on the federal return
2.
3. Other additions to income (See Form D-401, Individual Income Tax Instructions, for other additions
3.
that may be applicable to partnerships)
4. Total additions to income (Add Lines 1, 2, and 3 and enter total here and on Part 1, Line 4)
4.
Deductions from Income
5. Interest income from obligations of the United States or United States’ possessions
5.
6. State, local, or foreign income tax refunds reported as income on federal return
6.
7. Adjustment for bonus depreciation added back in 2011, 2012, 2013, 2014, and 2015
(Add Lines 7a, 7b, 7c, 7d, and 7e, and enter total on Line 7f)
7a. 2011
7b. 2012
7c. 2013
7d. 2014
7e. 2015
7f.
8. Other deductions from income (See Form D-401, Individual Income Tax Instructions, for other deductions that
8.
may be applicable to partnerships)
9. Total deductions from income (Add Lines 5, 6, 7f, and 8 and enter total here and on Part 1, Line 6)
9.
Part 5. Nonapportionable Net Distributive Partnership Income
Complete this schedule if you have income classified as nonapportionable income. See the instructions for an explanation of what is apportionable
income and what is nonapportionable income.
(B) Gross
(C) Related
(D) Net Amounts
(E) Net Amounts Allocated
(A) Nonapportionable Income
Amounts
Expenses
(Column B minus Column C)
Directly to N.C.
1.
Nonapportionable Income
(Enter the total of Column D here and on Part 1, Line 8)
2.
Nonapportionable Income Allocated to N.C.
(Enter the total of Column E here
and on Part 1, Line 10)
Explanation
of why income listed in chart is nonapportionable income rather than apportionable income:
(Attach additional sheets if necessary)
Explanation
of changes for Amended Return:
(Attach additional sheets if necessary)
I certify that, to the best of my knowledge, this return is accurate and complete.
If prepared by a person other than the managing partner, this certification is based on
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)
If entity is an LLC and it converted to an LLC during the tax year, enter entity
name prior to conversion:
Preparer’s Daytime Telephone Number (Include area code)
FEIN
SSN
PTIN:
(Fill in applicable circle)
Preparer’s FEIN, SSN, or PTIN
MAIL TO: North Carolina Department of Revenue, P.O. Box 25000, Raleigh, North Carolina 27640-0640

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