Form Cd-401s - S Corporation Tax Return - 2014 Page 6
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1
2
3
4
5
6
7
8Legal Name
FEIN
Page 5,
CD-401S Web, 10-14
Shareholder 1
Shareholder 2
Shareholder 3
1.
Identifying Number
2.
Name
3.
Address
%
%
%
4.
Percentage of ownership
5.
Share of income (loss)
(From Schedule H, Line 11)
6.
Additions to income (loss)
(From Schedule I, Line 1)
7.
Deductions from income (loss)
(From Schedule I, Line 2)
8.
Income subject to N.C. tax
Add (subtract) Lines 5, 6, and 7
9.
Share of tax credits
(See instructions)
10.
Share of tax withheld from
nonwage compensation
11.
Amount of Line 8 apportioned or
allocated to N.C.
(nonresidents only)
12.
Separately stated items of
income
(nonresidents only)
13.
Net tax paid for shareholder by
corporation
(nonresidents only)
Shareholders’ Total
Shareholder 4
Shareholder 5
1.
Identifying Number
2.
Name
3.
Address
%
%
%
4.
Percentage of ownership
5.
Share of income (loss)
(From Schedule H, Line 11)
6.
Additions to income (loss)
(From Schedule I, Line 2)
7.
Deductions from income (loss)
(From Schedule I, Line 4)
8.
Income subject to N.C. tax
Add (subtract) Lines 5, 6, and 7
9.
Share of tax credits
(See instructions)
10.
Share of tax withheld from
nonwage compensation
11.
Amount of Line 8 apportioned or
allocated to N.C.
(nonresidents only)
12.
Separately stated items of
income
(nonresidents only)
13.
Net tax paid for shareholder by
corporation
(nonresidents only)
(Attach additional pages if needed)
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