Form Nc-3 - Instructions For Form Nc-3 Annual Withholding Reconciliation
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1General Information
This report serves two purposes - to balance the total North Carolina income tax withheld as listed on the W-2 and
1099 statements with the amount required to be withheld for the year, and to act as a transmittal form for the N.C.
copies of the W-2 and 1099 statements. This report with the copies of the W-2 and 1099 statements for the preceding
calendar year must be filed on or before February 28. If your business terminates during the year, the report should
be filed within thirty days of the last payment of compensation.
Instructions for Form NC-3 Annual Withholding Reconciliation
Line 1 - 4: Enter on these lines the total tax required to be withheld for each quarter.
Line 6a:
Enter on this line the N.C. income tax withheld from wages as reported on W-2 statements.
Line 6b:
Enter on this line the N.C. income tax withheld as reported on 1099 statements. This includes amounts
withheld from personal services compensation paid to nonresidents and amounts withheld from pensions,
annuities, and deferred compensation.
Line 7:
Enter the total North Carolina income tax withheld as reported on all W-2 and 1099 statements and attach
an adding machine tape or other listing to this report. If the total tax required to be withheld (Line 5) does
not agree with the total tax withheld (Line 7), complete an amended withholding return, Form NC-5X, and
send it along with any payment due. Do not mail the amended return and payment with Form NC-3.
Please do not fold, staple, tape, or paper clip the form.
Use blue or black ink to complete this form.
Cut form on line below and mail it to the address on the return.
Cut Here
Annual Withholding Reconciliation
Quarter Ending
N.C. Income Tax Withheld
.
,
,
North Carolina Department of Revenue
1.
March 31
00
.
,
,
File By:
February 28
Year
2.
June 30
00
(YYYY)
.
,
,
Account ID
FEIN or SSN
3.
September 30
00
.
,
,
4.
December 31
00
USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS
.
,
,
Legal Name (First 21 Characters)
00
5.
Total Tax Withheld
NOTE: If
,
,
.
the amount
Tax Withheld Per
6a.
00
on Line 5
W-2 Statements
Street Address
differs
.
,
,
Tax Withheld Per
from the
6b.
00
amount on
1099 Statements
Line 7, see
.
,
,
City
State
Zip Code (5 Digit)
the
Total Tax Withheld
7.
00
instructions
Per Statements
for Line 7.
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
NC-3
(
)
Title:
Phone:
9-09
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0001
Web
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