Page 4
Part 4. North Carolina Adjustments to Federal Taxable Income
(See instructions.)
Additions to Federal Taxable Income
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00
1.
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00
2.
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00
3.
(See instructions)
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00
4.
(Add lines 1, 2, and 3 and enter total here and on Part 1, Line 4)
Deductions from Federal Taxable Income
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5.
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00
6.
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00
7.
(See instructions)
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8.
(Add Lines 5, 6, and 7 and enter total here and on Part 1, Line 6)
Tax Rate Schedule
If the amount of each nonresident partners share
of N.C. taxable income (from Part 3, Line 16) is more than
But not over
The tax is
I certify that, to the best of my knowledge, this return is accurate and complete.
If prepared by a person other than the managing partner, this certification is based on all
information of which preparer has any knowledge.
Signature of Managing Partner
Date
Signature of Preparer Other than Managing Partner
Date
Telephone Number (See instructions.)
Address
If entity is an LLC and it converted to an LLC during the tax year, enter entity name prior to conversion:
MAIL TO: North Carolina Department of Revenue, P.O. Box 25000, Raleigh, North Carolina 27640-0645