Form D-400x - Amended North Carolina Individual Income Tax Return - 2012 Page 3
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1
2
3
4Tax Year
Page 3
Last Name (First 10 Characters)
Your Social Security Number
2012
D-400X Web-Fill
12-12
Be sure to sign and date your return on Page 4.
Additions to Federal Adjusted Gross Income
(See Line Instructions beginning on Page 12.)
Enter Whole U.S. Dollars Only
33. Interest income from obligations of states other than North Carolina
33.
34.
34. Adjustment for bonus depreciation (See instructions on Page 13)
35.
35. Other additions to federal adjusted gross income (Attach explanation or schedule)
36. Total additions - Add Lines 33 through 35 (Enter the total here and on Line 7)
36.
Deductions from Federal Adjusted Gross Income
(See Line Instructions beginning on Page 13.)
37. State or local income tax refund if included on Line 10 of Federal Form 1040
37.
38. Interest income from obligations of the United States or United States’ possessions
38.
39. Taxable portion of Social Security and Railroad Retirement Benefits
39.
included on your federal return
Retirement benefits received from vested N.C. State government,
.
40
N.C. local government, or federal government retirees
40.
(Bailey settlement - Important: See Line instructions on Page 13)
41. If you have retirement benefits not reported on Lines 39 or 40, complete the
41.
Retirement Benefits Worksheet on Page 14 and enter the result here
42. Severance wages
42.
(See Line instructions on Page 15 for explanation of qualifying severance wages)
Adjustment for bonus depreciation added back in 2008, 2009, 2010, and 2011
43.
(See Line instructions on Page 15)
43a. 2008
43b. 2009
43c. 2010
43d. 2011
(Add Lines 43a, 43b, 43c, and 43d and enter on Line 43e.)
43e.
Adjustment for section 179 expense deduction added back in 2010 and 2011
44.
(See Line instructions on Page 15)
44a. 2010
44b. 2011
44c.
(Add Lines 44a and 44b and enter on Line 44c.)
45. Contributions to North Carolina’s National College Savings Program (NC 529 Plan)
45.
(See Line instructions on Page 15 for deduction limitations)
46. Adjustment for absorbed NOL added back in 2003, 2004, 2005, and 2006
46.
(See instructions on Page 15)
47.
Adjustment for net business income that is not considered passive income (See instructions on Page 15)
47.
48. Other deductions from federal adjusted gross income (Attach explanation or schedule.
48.
Do not include any deduction for retirement benefits on this line.)
49. Total deductions - Add Lines 37 through 48 (Enter the total here and on Line 9)
49.
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