NC K-1
Shareholder’s Share of North Carolina
Income, Adjustments, and Credits
CD-401S
Web
North Carolina Department of Revenue
10-14
For calendar year 2014, or other tax year beginning (MM-DD)
and ending (MM-DD-YY)
1 4
Part 1. Information about the Corporation
Part 2. Information about the Shareholder
A. Corporation’s Employer Identification Number
A. Shareholder’s Identifying Number
B. Corporation’s Name, Address, and Zip Code
B. Shareholder’s Name, Address, and Zip Code
C. Has Nonresident Shareholder Agreement Form NC-NA been filed?
C. Shareholder’s percentage of stock
.
%
Check one:
ownership for tax year
Yes
No
Part 3. Shareholder’s Share of Current Year Income, Deductions, Credits, and Other Items
All Shareholders
1.
Share of corporation income (loss)
(From Form CD-401S, Schedule K, Line 5)
.
,
,
Line 1 should already be included in federal taxable income
00
,
,
.
2.
Additions to income (loss)
(From Form CD-401S, Schedule K, Line 6)
00
Enter here and on Form D-400, Schedule S; See Form D-400 Instructions
3.
Deductions from income (loss)
(From Form CD-401S, Schedule K, Line 7)
,
,
.
00
Enter here and on Form D-400, Schedule S; See Form D-400 Instructions
4.
Share of tax credits
(From Form CD-401S, Schedule K, Line 9)
,
,
.
00
Enter here and on Form D-400TC; see Form D-400 Instructions
5.
Share of tax withheld from nonwage compensation paid for personal services
,
,
.
performed in N.C.
(From Form CD-401S, Schedule K, Line 10)
00
Enter here and on Form D-400, Line 20
Nonresidents Only
,
,
.
6.
Nonresident’s share of N.C. taxable income (loss)
(From Form CD-401S, Schedule K, Line 11)
00
Enter here and on Form D-400; See Form D-400 Instructions
7.
Nonresident’s share of separately stated items of income
,
,
.
(From Form CD-401S, Schedule K, Line 12)
00
Line 7 should already be included in federal taxable income
8. Nonresident’s share of net tax paid by the S Corporation
,
,
.
(From Form CD-401S, Schedule K, Line 13)
00
Enter here and on Form D-400, Line 21d
Attach additional NC K-1s if needed. Additional forms are available from the Department’s
website, , or by calling the Department’s toll free forms line at 1-877-252-3052.