Form D-400 - Individual Income Tax Return - 2013 Page 4
Download a blank fillable Form D-400 - Individual Income Tax Return - 2013 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 - 2013 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
1
2
3
4Page 4
Last Name (First 10 Characters)
Your Social Security Number
Tax Year
D-400 Web-Fill
2013
9-13
Computation of North Carolina Taxable Income for Part-Year Residents and Nonresidents
(See Line Instructions beginning on Page 15. Note: Do not complete Lines 53 through 55 if you were a full-year resident.)
Fill in applicable circles
You
Spouse
Fill in circle(s) if you or your spouse moved into or out of North Carolina during the year and enter the dates of residency in the boxes.
You
Spouse
Date residency began
Date residency began
Date residency ended
Date residency ended
(MM-DD-YY)
(MM-DD-YY)
(MM-DD-YY)
(MM-DD-YY)
Fill in circle(s) if you or your spouse were nonresidents of North Carolina for the entire year.
Part-year residents and nonresidents must read the instructions on Page 15 and complete the worksheet on Page 16 to determine the amounts to
enter on Lines 53 and 54 below.
53. Enter the amount from Column B, Line 34 of the Part-Year
53.
Resident/Nonresident Worksheet on Page 16 of the Instructions.
Enter the amount from Column A, Line 34 of the Part-Year
54.
54.
Resident/Nonresident Worksheet on Page 16 of the Instructions.
55. Divide Line 53 by Line 54
(Enter the result as a decimal amount here and on Line 16; round
55.
to four decimal places.)
I certify that, to the best of my knowledge, this return is
If prepared by a person other than taxpayer, this certification is
based on all information of which the preparer has any knowledge.
accurate and complete.
Your Signature
Paid Preparer’s Signature
Date
Date
Spouse’s Signature (If filing joint return, both must sign.)
Date
Preparer’s FEIN, SSN, or PTIN
Home Telephone Number (Include area code.)
Preparer’s Telephone Number (Include area code.)
N.C. DEPT. OF REVENUE
N.C. DEPT. OF REVENUE
If you ARE NOT due a
If REFUND mail
P.O. BOX R
P.O. BOX 25000
return to:
refund, mail return, any
RALEIGH, NC 27634-0001
RALEIGH, NC 27640-0640
payment, and D-400V to:
Original Return Payment Options
Online – You can pay your tax online by bank draft, credit, or debit card using Visa or MasterCard. Go to
and click on Electronic Services for details.
Payment voucher – If you do not pay your tax online, go to and generate a personalized Form
D-400V. Enclose the voucher with your return and payment, and mail to the address listed above. If you do not pay
online or by payment voucher, mail a check or money order with your return for the full amount due. Please write
“D-400”, and your name, address, and social security number on the payment. If filing a joint return, write both
social security numbers on your payment in the order that they appear on the return. Note: The Department will
not accept a check, money order, or cashier’s check unless it is drawn on a U.S. (domestic) bank and the funds
are payable in U.S. dollars. Please do not staple, tape, paper clip, or otherwise attach your payment or voucher
to your return or to each other.
Amended Returns
See Form D-400X for the mailing address and payment options for amended returns.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial