Form Nc-40 - Individual Estimated Incometax

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4
NC-40
Individual Estimated IncomeTax
Web-Fill
North Carolina Department of Revenue
PRINT
CLEAR
For calendar year
or other tax year beginning
and ending
(MM-DD-YY)
(MM-DD-YY)
You must enter your social security number(s)
Your Social Security Number
Spouse’s Social Security Number
Your First Name
M.I.
Your Last Name
If a Joint Return, Spouse’s First Name
M.I.
Spouse’s Last Name
Address
City
State
Zip Code
Amount of this Payment
$
Do not fold or staple check.
Pay in U.S. currency
Mail this form and your payment to:
N.C. DEPARTMENT OF REVENUE
P.O. BOX 25000
RALEIGH, N.C. 27640-0630

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