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Fillable Printable Application for Extension for Filing Individual Income Tax Return

Fillable Printable Application for Extension for Filing Individual Income Tax Return

Application for Extension for Filing Individual Income Tax Return

Application for Extension for Filing Individual Income Tax Return

Application for Extension for Filing Individual Income Tax Return
North Carolina Department of Revenue
Mail to: N.C. Department of Revenue
P.O. Box 25000, Raleigh, N.C. 27640-0635
You can le this form and pay the tax online at www.dornc.com.
Click on Electronic Services.
Use blue or black ink to complete this form.
Do not fold, staple, tape, or paper clip the form.
Detach and mail original form to:
N.C. Department of Revenue, P.O. Box 25000, Raleigh, NC 27640-0635
e-File
e-Pay
e-File
e-Pay
Web
10-09
D-410
Enter Whole U.S. Dollars Only
For calendar year
(MM-DD-YY)(MM-DD-YY)
Your Social Security NumberYour Spouse’s Social Security Number
You mustenter your
social security number(s)
Fill in this circle if you
were out of the country
on the date that this
application was due.
00
.
2.Payments for Year
00
.
1.Tax Liability for Year
00
.
$
3.
Balance Due
(Line 1 minus Line 2)
or other tax
year beginning
and
ending
Your First Name
(USE CAPITAL LETTERS )
M.I.Your Last Name
If a Joint Return, Spouse’s First NameM.I. Spouse’s Last Name
AddressApartment Number
StateZip CodeCountry (If not U.S.)
City
,
,
,
,
,
,
Instructions
Purpose - Use Form D-410 to ask for 6 more months to le the North
Carolina Individual Income Tax Return, Form D-400.
Even if you do not expect to owe additional tax, you must still apply
for an extension and le the return by the extended due date for the
return to be considered timely led. You do not have to explain why
you are asking for the extension. You do not have to attach this
form to your return.
To receive the extra time you MUST:
1. Properly estimate your tax liability using the information
available to you, and enter that amount on Line 1 of Form
D-410.
2. File Form D-410 by the regular due date of your tax return.
You are not required to send a payment of the tax you
estimate as due. However, because an extension of time to
le the return does not extend the time for paying the tax, it
will benet you to pay as much as you can.
If you already had 4 extra months to le because you were “out of the
country” (explained later) when your return was due, then use this form
to ask for an additional 2 months to le.
Filing Your Tax Return- You may le the income tax return at any
time before the extended due date. But remember, Form D-410 does
not extend the time to pay the tax. If you do not pay the amount
due by the original due date, you will owe interest. You may also be
charged penalties.
Interest -You will owe interest on tax not paid by the original due date
of the return. Even if you had a good reason not to pay on time, you
will still owe interest.
Late Payment Penalty - The late payment penalty is 10 percent of the
tax not paid by the due date of the return. The penalty will apply on any
remaining balance due if the tax paid by the original due date of the
return is less than 90 percent of the total amount of tax due. If the 90
percent rule is met, any remaining balance due, including interest,
Web
10-14
Application for Extension
for Filing Individual Income Tax Return
D-410
Page 2
D-410
Web
10-14
must be paid with the income tax return on or before the expiration of
the extension period to avoid the late payment penalty.
Late Filing Penalty -Apenalty is usually charged if your return is led
after the due date (including extensions). It is 5 percent of the tax for
each month, or part of a month, that your return is late (maximum 25
percent).
If you do not le the application for extension by the original due date
of the return, you are subject to both the 5 percent per month late ling
penalty and the 10 percent late payment penalty on the remaining
tax due.
How To Claim Credit For Payments Made With This Form - When
you le your return, include the amount paid with this extension on
Line 21b of Form D-400. If you and your spouse each le a separate
Form D-410, but le a joint return for taxable year, enter the total paid
with the two Forms D-410 on Line 21b of your return.
If you and your spouse jointly led Form D-410, but le separate returns
for the taxable year, you may enter the total amount paid with Form
D-410 on either of your separate returns. Or, you and your spouse may
divide the payment in any agreed amounts. Be sure each separate
return has the social security numbers of both spouses.
Specic Instructions
Name, Address, and Social Security Numbers - Enter your name,
address, and social security number and your spouse’s name and
social security number if ling a joint return.
Line 1 - Enter on this line the amount you expect to enter on Line 15
of Form D-400. If you do not expect to owe tax, enter zero.
Line 2 - Enter on this line any North Carolina income tax withheld,
estimated tax payments (including any overpayment applied from the
previous year), and any other payments and credits you expect to
show on your return.
Out of the Country - If you were a U. S. citizen or resident and were
out of the country on the due date of your return, you are granted an
automatic 4-month extension to le your return. You do not have to
le this form on April 15. Instead, ll in the “Out of the Country” circle
on page 1 of Form D-400 to indicate you were out of the country on
April 15. If you need an additional two months to le your return, ll in
the circle located at the bottom right of this form and le the form on
or before August 15. For this purpose, “Out of the Country” means
either (1) you live outside the United States and Puerto Rico, AND
your main place of work is outside the United States and Puerto Rico,
or (2) you are in military or naval service outside the United States
and Puerto Rico.
Important:Do not use this form to request extensions of time for ling
partnership, estate, trust, corporate income, or franchise tax returns.
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