Form D-400x - Amended Individual Income Tax Return

Tax Year

Your Social Security Number

Page 2

Last Name (First 10 Characters)

2014

D-400X

Be sure to sign and date your return below.

13.

Part-year residents and nonresidents

If amount on

13.

(From Part D of Form D-400 Schedule S, Line 22;

Line 14 is

attach Schedule S if a part-year resident or nonresident)

negative, fill in

circle.

14.

North Carolina Taxable Income

Full-year residents enter the amount from Line 12

Example:

14.

Part-year residents and nonresidents multiply amount on Line 12 by the

decimal amount on Line 13

15. North Carolina Income Tax

15.

To calculate your tax, multiply your North Carolina Taxable Income

Line 14 by 5.8% (0.058)

16. Tax Credits (From Form D-400TC, Part 3, Line 20 - You must attach

16.

Form D-400TC if you enter an amount on this line)

17.

Subtract Line 16 from Line 15

If you certify that no Consumer

18. Consumer Use Tax (See instructions on Page 9)

18.

Use Tax is due, fill in circle

19. Add Lines 17 and 18

19.

20.

North Carolina Income Tax Withheld

20a.

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)

20b.

b. Spouse’s tax withheld

21.

Other Tax Payments

a. 2014 Estimated Tax

21a.

b. Paid with Extension

21b.

c. Partnership

21c.

If you claim a partnership payment on Line 21c

or S corporation payment on Line 21d, you must

attach a copy of the NC K-1.

d. S Corporation

21d.

22. Amount paid with original return (Form D-400, Line 23a) plus additional tax paid after

22.

return was filed (Do not include payments of interest or penalties.)

23. Total payments. Add Lines 20a through 22.

23.

24. Total of all previous refunds received or expected to be received for this taxable year

24.

(Do not include any interest you received on any refund.)

25. Subtract Line 24 from Line 23 and enter the result

25.

26.

a. Tax Due - If Line 19 is more than Line 25, subtract and enter the result

26a.

b. Penalties

c. Interest

(Add Lines 26b

and 26c and

enter the total

26d.

on Line 26d)

e. Interest on the underpayment of estimated income tax

26e.

Exception to

(See Line instructions and enter letter in box, if applicable)

underpayment

of estimated

tax

27.

Add Lines 26a, 26d, and 26e and enter the total

27.

Pay This Amount -

You can pay online. Go to

and click on Electronic Services for details.

28. If Line 19 is less than 25, subtract and enter as Amount to be Refunded

28.

Form D-400x - Amended Individual Income Tax Return - 2014 Page 2

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