Form D-400 - Individual Income Tax Return - 2012

Download a blank fillable Form D-400 - Individual Income Tax Return - 2012 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form D-400 - Individual Income Tax Return - 2012 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

4
D-400
Individual Income
Web-Fill
PRINT
CLEAR
Tax Return 2012
9-12
IMPORTANT: Do not send
North Carolina Department of Revenue
a photocopy of this form.
For calendar year 2012, or fiscal year beginning
and ending
(MM-DD-YY)
(MM-DD-YY)
Your Social Security Number
Spouse’s Social Security Number
You must enter your
social security number(s)
Your First Name
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
M.I.
Your Last Name
If a Joint Return, Spouse’s First Name
M.I.
Spouse’s Last Name
Mailing Address
Apartment Number
City
State
Zip Code
Country (If not U.S.)
County
(Enter first five letters)
Fill in circle if you or your spouse were out of the country on April 15 and a U.S. citizen or resident.
Deceased Taxpayer Information
N.C. Public Campaign Fund
N.C. Political Parties Financing Fund
Mark ‘Yes’ if you want to designate $3
Fill in appropriate circle if you want to designate
Fill in circle if return is filed and signed by Executor,
of taxes to this special Fund for voter
$3 to this fund. Your tax remains the same
Administrator or Court-Appointed Personal Representative.
whether or not you make a designation.
education materials and for candidates
who accept spending limits. Marking ‘Yes’
Taxpayer
(MM-DD-YY)
does not change your tax or refund.
You
Your Spouse
If return is for a
Democratic
Democratic
deceased taxpayer
Republican
Republican
You
Your Spouse
or deceased spouse,
Spouse
(MM-DD-YY)
Fill in
Libertarian
Libertarian
Yes
Yes
enter date of death.
appropriate
Unspecified
Unspecified
circle
No
No
Were you a resident of N.C. for the entire year of 2012?
Yes
No
Residency
If No, complete Lines 1 through 15. Then go to Page 4 of Form D-400.
Status
Was your spouse a resident for the entire year?
Fill in residency information and complete Lines 51 through 53.
Yes
No
Filing Status
Same as federal. Fill in one circle only. If your spouse was a nonresident and had no North
Carolina taxable income in 2012, see the Line Instructions for Lines 1 through 5. If you do not
Enter the Number of
1.
indicate your filing status by filling in one of the circles, any refund due will be delayed.
Single
Exemptions claimed
on your federal
2.
Married Filing Jointly
income tax return
Name
(Enter your spouse’s
3.
Married Filing Separately
full name and Social
Security Number)
4.
SSN
Head of Household
5.
Qualifying Widow(er) with Dependent Child
)
(Year spouse died:
!
Note: Line 6 has changed from Federal Taxable Income to Federal Adjusted Gross Income
Enter Whole U.S. Dollars Only
6. Federal adjusted gross income
(Form 1040, Line 37; Form 1040A, Line 21; or Form
6.
1040EZ, Line 4) (If negative, see the Line instructions)
7. Additions to federal adjusted gross income
7.
(If applicable, complete Lines 34 through 37 on Page 3
and enter amount from Line 37)
8. Add Lines 6 and 7
8.
9. Deductions from federal adjusted gross income
(If applicable, complete Lines 38 through 50 on Page 3
9.
and enter amount from Line 50)
10. Subtract Line 9 from Line 8
10.
11.
N.C. standard deduction
OR
N.C. itemized deductions
11.
ImPortaNt: Do not enter the amount from your federal return.
(You must fill in appropriate circle. See instructions on Pages 7, 8, and 9)
12.
12.
Subtract Line 11 from Line 10
13.
N.C. personal exemption allowance (See instructions on Page 9)
13.
14.
Subtract Line 13 from Line 12
14.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 6