Form Nc-415 - Tax Credit For Qualifying Expenses Of A Film Or Television Production Company

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NC-415
Tax Credit for Qualifying Expenses of a
Web
12-10
Film or Television Production Company
North Carolina Department of Revenue
Return for Year Ended
(MM-DD-YY)
FEIN or SSN
(No dashes)
Name (Individual’s name or entity’s legal name)
Address
City
State
Zip Code
Date Production Activities Completed
Contact Person
Phone Number for Contact Person
(MM-DD-YY)
Individual (D-400)
C-Corp (CD-405)
Partnership (D-403)
Fill in the circle that corresponds
to the tax form you filed:
Estate or Trust (D-407)
S-Corp (CD-401S)
Part 1. Production Information
Number of people employed in North Carolina with respect to the production
Enter the name and a description of production
List all North Carolina counties used as sites in the production
Part 2. Computation of Credit for Qualifying Expenses of a Production Company
.
,
,
1.
Total qualifying expenses spent in North Carolina for goods leased or purchased
00
.
,
,
2. Total qualifying expenses spent in North Carolina for services leased or purchased
00
.
,
,
3. Total qualifying expenses spent in North Carolina for compensation and wages paid
00
(Do not include amounts in excess of $1,000,000 paid to a highly compensated individual.)
.
,
,
4. a. Employee fringe contributions
00
.
,
,
b. Other qualifying expenses
00
.
,
,
5. Total North Carolina Qualifying Expenses
00
Add Lines 1 through 4b
(If $250,000 or less, stop here; you are not eligible for the credit.)
.
6. Credit for Qualifying Expenses of a Production Company
,
,
Multiply Line 5 by 25% (.25) and enter amount here; do not exceed $20,000,000 for a production that
00
is a feature film.
Certification
Part 3.
I certify that the taxpayer filing Form NC-415 meets the requirements for claiming the tax credit and that the information given is, to the best of my
knowledge, accurate and complete.
Signature of Taxpayer or Authorized Agent
Date
MAIL TO: North Carolina Department of Revenue, Central Exams, Corporate Group Manager,
PO Box 871, Raleigh, North Carolina 27602

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