Form D-400 - Individual Income Tax Return - 2012 Page 2
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Last Name (First 10 Characters)
Tax Year
Your Social Security Number
2012
D-400 Web-Fill
9-12
Be sure to sign and date your return on Page 4.
15.
Enter amount from Line 14
15.
16. Part-year residents and nonresidents
Complete Lines 51 through 53 on Page 4 and enter
16.
decimal amount from Line 53
17. North Carolina Taxable Income
Full-year residents enter the amount from Line 15
17.
Part-year residents and nonresidents multiply amount on Line 15 by the decimal amount on Line 16
-
18.
North Carolina Income Tax
If the amount on Line 17 is less than $68,000, use the Tax Table
18.
beginning on Page 22 of the instructions to determine your tax. If the amount on Line 17 is $68,000
or more, use the Tax Rate Schedule on Page 30 to calculate your tax.
19.
Tax Credits (From Form D-400TC, Part 4, Line 37 - You must attach Form D-400tC
19.
if you enter an amount on this line)
20.
Subtract Line 19 from Line 18
20.
21.
Consumer Use Tax (See instructions on Page 10)
21.
22.
Add Lines 20 and 21
22.
23.
North Carolina Income Tax Withheld
23a.
a. Your tax withheld
(Staple original or copy of the original State
wage and tax statement(s) in lower left-hand
corner of the return)
23b.
b. Spouse’s tax withheld
24.
Other Tax Payments
24a.
a. 2012 Estimated Tax
b. Paid with Extension
24b.
c. Partnership
24c.
If you claim a partnership payment on Line 24c
or S corporation payment on Line 24d, you must
attach a copy of the NC K-1.
d. S Corporation
24d.
25. North Carolina Earned Income Tax Credit
25.
(From Form D-400TC, Part 5)
26.
Add Lines 23a through 25 and enter the total on Line 26
26.
27.
a. Tax Due - If Line 22 is more than Line 26, subtract and enter the result
27a.
b. Penalties
27b.
c. Interest
27c.
Exception to
d. Interest on the underpayment of estimated income tax
27d.
underpayment
(See Line instructions and enter letter in box, if applicable)
of estimated tax
$
28.
Add Lines 27a, 27b, 27c, and 27d and enter the total - Pay This Amount
28.
You can pay online. Go to and click on Electronic Services for details.
29.
Overpayment - If Line 22 is less than Line 26, subtract and enter the result
29.
30.
Amount of Line 29 to be applied to 2013 Estimated Income Tax
30.
31. Contribution to the N.C. Nongame and Endangered Wildlife Fund
31.
32.
Add Lines 30 and 31
32.
33.
Subtract Line 32 from Line 29 and enter the Amount To Be Refunded
33.
For direct deposit, file electronically. Go to and click on efile.
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