Form D-400 - Individual Income Tax Return - 2012 Page 3
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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.
Additions to Federal Adjusted Gross Income
(See Line Instructions beginning on Page 12.)
Enter Whole U.S. Dollars Only
34. Interest income from obligations of states other than North Carolina
34.
35.
35. Adjustment for bonus depreciation (See instructions on Page 13)
36.
36. Other additions to federal adjusted gross income (Attach explanation or schedule)
37.
37. Total additions - Add Lines 34 through 36 (Enter the total here and on Line 7)
Deductions from Federal Adjusted Gross Income
(See Line Instructions beginning on Page 13.)
38. State or local income tax refund if included on Line 10 of Federal Form 1040
38.
39. Interest income from obligations of the United States or United States’ possessions
39.
40. Taxable portion of Social Security and Railroad Retirement Benefits
40.
included on your federal return
.
Retirement benefits received from vested N.C. State government,
41
41.
N.C. local government, or federal government retirees
(Bailey settlement - Important: See Line instructions on Page 13)
42. If you have retirement benefits not reported on Lines 40 or 41, complete the
42.
Retirement Benefits Worksheet on Page 14 and enter the result here
43. Severance wages
43.
(See Line instructions on Page 15 for explanation of qualifying severance wages)
44.
Adjustment for bonus depreciation added back in 2008, 2009, 2010, and 2011
(See Line instructions on Page 15)
44a. 2008
44b. 2009
44c. 2010
44d. 2011
(Add Lines 44a, 44b, 44c, and 44d and enter on Line 44e.)
44e.
45.
Adjustment for section 179 expense deduction added back in 2010 and 2011
(See Line instructions on Page 15)
45a. 2010
45b. 2011
45c.
(Add Lines 45a and 45b and enter on Line 45c.)
46. Contributions to North Carolina’s National College Savings Program (NC 529 Plan)
46.
(See Line instructions on Page 15 for deduction limitations)
47. Adjustment for absorbed NOL added back in 2003, 2004, 2005, and 2006
47.
(See instructions on Page 15)
48.
Adjustment for net business income that is not considered passive income (See instructions on Page 15)
48.
49. Other deductions from federal adjusted gross income (Attach explanation or schedule.
49.
Do not include any deduction for retirement benefits on this line.)
50.
50. Total deductions - Add Lines 38 through 49 (Enter the total here and on Line 9)
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