Form D-403 - Partnership Income Tax Return - 2011 Page 3

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Page 3

Legal Name (First 10 Characters)

Federal Employer ID Number

Important

D-403

If more than three partners, include separate

Web-Fill

schedule for additional partners.

11-11

Part 3.

A. Partners’ Shares of Income, Adjustments, Tax Credits, and Other Items

Complete Lines 1 through 8 for all partners.

B. Computation of North Carolina Taxable Income for Nonresident Partners

Complete Lines 9 through 17 for all nonresident partners.

C. Computation of Tax Due for Nonresident Partners on Whose Behalf the Partnership Pays the Tax

Complete Lines 18 through 22.

Attach other pages if needed.

Partner 1

Partner 2

Partner 3

Identifying Number

Name

Address

4. Partner’s share percentage

Type of partner

(Ex: Ind., Corp., Part.)

Additions to income (loss)

(To Form NC K-1, Line 2)

Deductions from income (loss)

(To Form NC K-1, Line 3)

a. Share of Tax Credit for Small

Businesses That Pay N.C.

Unemployment Insurance

(To Form NC K-1, Line 4a)

b. Share of other tax credits

(To Form NC K-1, Line 4b)

Guaranteed payments to

nonresident partners applicable

to income on Part 1, Line 8

10.

Percentage from Line 4 times

amount on Part 1, Line 8

11.

Add Lines 9 and 10

12.

Apportionment percentage from

Part 2, Line 15

13.

Multiply Line 11 by Line 12

14.

Guaranteed payments to

nonresident partners applicable

to income on Part 1, Line 9

15.

Percentage from Line 4 times

amount on Part 1, Line 9

16.

Separately stated items of

income attributable to

nonresident partners

17.

North Carolina taxable income

(Add Lines 13, 14, 15, and 16)

18.

Tax Due

(See Tax Rate Schedule on Page 4)

19.

Tax credits allocated to

nonresident partners from

Lines 8a and 8b above

20.

Net Tax Due

(If Line 18 is more than Line 19,

subtract and enter the result)

21.

Net Overpayment

(If Line 18 is less than Line 19,

subtract and enter the result)

Enter net tax due here and on

Enter net overpayment here and on

22.

Add the amounts on Lines 20 and 21 for all partners. If net tax

Part 1, Line 10

Part 1, Line 11

due, enter the result on Line 22a. If net overpayment, enter the

22a.

22b.

result on Line 22b.

Important: The Partnership must provide each Partner an NC K-1 for Form D-403 or other information necessary for the Partner to prepare the appropriate North Carolina Tax Return.