Question	Answer
Form Name	Form Nc 4
Form Length	6 pages
Fillable?	Yes
Fillable fields	175
Avg. time to fill out	36 min 34 sec
Other names	north carolina withholding form, nc 4 fillable form, north carolina nc 4, nc state tax form

Filing Status
Single or Married Filing Separately	Head of Household	Married Filing Jointly or Surviving Spouse

	NC-4 Allowance Worksheet				PART I
Answer all of the following questions for your filing status.

Single -
1.	Will your N.C. itemized deductions from Page 3, Schedule 1 exceed $13,249?	Yes	o	No	o
2.	Will your N.C. Child Deduction Amount from Page 3, Schedule 2 exceed $2,499?	Yes	o	No	o
3.	Will you have federal adjustments or State deductions from income?	Yes	o	No	o
4.	Will you be able to claim any N.C. tax credits or tax credit carryovers?	Yes	o	No	o
If you answered “No” to all of the above, STOP HERE and enter ZERO (0) as total allowances on Form NC-4, Line 1.
If you answered “Yes” to any of the above, you may choose to go to Page 2, Part II to determine if you qualify for
additional allowances. Otherwise, enter ZERO (0) on Form NC-4, Line 1.


Married Filing Jointly -
1.	Will your N.C. itemized deductions from Page 3, Schedule 1 exceed $23,999?	Yes	o	No	o
2.	Will your N.C. Child Deduction Amount from Page 3, Schedule 2 exceed $2,499?	Yes	o	No	o
3.	Will you have federal adjustments or State deductions from income?	Yes	o	No	o
4.	Will you be able to claim any N.C. tax credits or tax credit carryovers?	Yes	o	No	o
5.	Will your spouse receive combined wages and taxable retirement benefits of
	less than $8,250 or only retirement benefits not subject to N.C. income tax?	Yes	o	No	o
If you answered “No” to all of the above, STOP HERE and enter ZERO (0) as total allowances on Form NC-4, Line 1.
If you answered “Yes” to any of the above, you may choose to go to Page 2, Part II to determine if you qualify for
additional allowances. Otherwise, enter ZERO (0) on Form NC-4, Line 1.


Married Filing Separately -
1.	Will your portion of N.C. itemized deductions from Page 3, Schedule 1 exceed $13,249?	Yes	o	No	o
2.	Will your N.C. Child Deduction Amount from Page 3, Schedule 2 exceed $2,499?	Yes	o	No	o
3.	Will you have federal adjustments or State deductions from income?	Yes	o	No	o
4.	Will you be able to claim any N.C. tax credits or tax credit carryovers?	Yes	o	No	o
If you answered “No” to all of the above, STOP HERE and enter ZERO (0) as total allowances on Form NC-4, Line 1.
If you answered “Yes” to any of the above, you may choose to go to Page 2, Part II to determine if you qualify for
additional allowances. Otherwise, enter ZERO (0) on Form NC-4, Line 1.


Head of Household-
1.	Will your N.C. itemized deductions from Page 3, Schedule 1 exceed $18,624?	Yes	o	No	o
2.	Will your N.C. Child Deduction Amount from Page 3, Schedule 2 exceed $2,499?	Yes	o	No	o
3.	Will you have federal adjustments or State deductions from income?	Yes	o	No	o
4.	Will you be able to claim any N.C. tax credits or tax credit carryovers?	Yes	o	No	o
If you answered “No” to all of the above, STOP HERE and enter ZERO (0) as total allowances on Form NC-4, Line 1.
If you answered “Yes” to any of the above, you may choose to go to Page 2, Part II to determine if you qualify for
additional allowances. Otherwise, enter ZERO (0) on Form NC-4, Line 1.

Surviving Spouse -
1.	Will your N.C. itemized deductions from Page 3, Schedule 1 exceed 23,999?	Yes	o	No	o
2.	Will your N.C. Child Deduction Amount from Page 3, Schedule 2 exceed $2,499?	Yes	o	No	o
3.	Will you have federal adjustments or State deductions from income?	Yes	o	No	o
4.	Will you be able to claim any N.C. tax credits or tax credit carryovers?	Yes	o	No	o
If you answered “No” to all of the above, STOP HERE and enter FOUR (4) as total allowances on Form NC-4, Line 1.
If you answered “Yes” to any of the above, you may choose to go to Part II to determine if you qualify for additional
allowances. Otherwise, enter FOUR (4) on Form NC-4, Line 1.

1.	Enter your total estimated N.C. itemized deductions from Page 3, Schedule 1			.....................................................		1.	_______________________$	.

2.	Enter the applicable	{	$10,750 if Single
	N.C. standard deduction		$21,500 if Married Filing Jointly or Surviving Spouse
	based on your filing status.		$10,750 if Married Filing Separately				_______________________$	.
			$16,125 if Head of Household			2.
3.	Subtract Line 2 from Line 1. If Line 1 is less than Line 2, enter ZERO (0)					3.	_______________________$	.

4.	Enter an estimate of your total N.C. Child Deduction Amount from Page 3, Schedule 2					4.	_______________________$	.

5.	Enter an estimate of your total federal adjustments to income and State deductions from						_______________________$	.
	federal adjusted gross income	................................................................................................................................				5.

6.	Add Lines 3, 4, and 5					6.	_______________________$	.

7.	Enter an estimate of your nonwage income (such as dividends or interest)			7.	$_____________________	.

	income	8.	$	.

9.	Add Lines 7 and 8			9.	$	.

10.	Subtract Line 9 from Line 6 (Do not enter less than zero)			10.	$	.

11.	Divide the amount on Line 10 by $2,500 . Round down to whole number			11.	_______________________
	Ex. $3,900 ÷ $2,500 = 1.56 rounds down to 1
12.	Enter the amount of your estimated N.C. tax credits	12.	$	.

13.	Divide the amount on Line 12 by $134. Round down to whole number			13.	_______________________
	Ex. $200 ÷ $134 = 1.49 rounds down to 1

$8,250, enter 0	14.	_______________________
15. Add Lines 11, 13, and 14, and enter the total here	15.	_______________________
16. If you completed this worksheet on the basis of Married Filing Jointly, the total number of allowances determined
on Line 15 may be split between you and your spouse, however, you choose. Enter the number of allowances
from Line 15 that your spouse plans to claim	16.	_______________________
17. Subtract Line 16 from Line 15 and enter the total number of allowances here and on Line 1 of your
Form NC-4, Employee’s Withholding Allowance Certificate	17.	_______________________

		Page	2

Schedule 1	Estimated N.C. Itemized Deductions
Qualifying mortgage interest	$	.
Real estate property taxes	$	.		.
Total qualifying mortgage interest and real estate property taxes*		$		.
Charitable Contributions (Same as allowed for federal purposes)		$		.
Medical and Dental Expenses (Same as allowed for federal purposes)		$		.
Total estimated N.C. itemized deductions. Enter on Page 2, Part II, Line 1			$	.

			Deduction
		No. of	Amount per	Estimated
Filing Status	Adjusted Gross Income	Children	Qualifying Child	Deduction

Single	Up to	$	20,000
	Over	$	20,000
	Over	$	30,000
	Over	$	40,000
	Over	$	50,000
	Over	$	60,000
MFJ or SS	Up to	$	40,000
	Over	$	40,000
	Over	$	60,000
	Over	$	80,000
	Over	$	100,000
	Over	$	120,000
HOH	Up to	$	30,000
	Over	$	30,000
	Over	$	45,000
	Over	$	60,000
	Over	$	75,000
	Over	$	90,000
MFS	Up to	$	20,000
	Over	$	20,000
	Over	$	30,000
	Over	$	40,000
	Over	$	50,000
	Over	$	60,000

			_____________	$	2,500	______________
Up to	$	30,000	_____________	$	2,000	______________
Up to	$	40,000	_____________	$	1,500	______________
Up to	$	50,000	_____________	$	1,000	______________
Up to	$	60,000	_____________	$	500	______________
			_____________	$	-	______________
			_____________	$	2,500	______________
Up to	$	60,000	_____________	$	2,000	______________
Up to	$	80,000	_____________	$	1,500	______________
Up to	$	100,000	_____________	$	1,000	______________
Up to	$	120,000	_____________	$	500	______________
			_____________	$	-	______________
			_____________	$	2,500	______________
Up to	$	45,000	_____________	$	2,000	______________
Up to	$	60,000	_____________	$	1,500	______________
Up to	$	75,000	_____________	$	1,000	______________
Up to	$	90,000	_____________	$	500	______________
			_____________	$	-	______________
			_____________	$	2,500	______________
Up to	$	30,000	_____________	$	2,000	______________
Up to	$	40,000	_____________	$	1,500	______________
Up to	$	50,000	_____________	$	1,000	______________
Up to	$	60,000	_____________	$	500	______________
			_____________	$	-	______________

Estimated Annual Wages			Payroll Period
At Least	But Less Than	Monthly	Semimonthly	Biweekly	Weekly

0	1000	2	1	1	1
1000	2000	7	3	3	2

2000	3000	11	6	5	3

3000	4000	16	8	7	4

4000	5000	20	10	9	5

5000	6000	25	12	11	6

6000	7000	29	14	13	7
7000	8000	33	17	15	8

8000	9000	38	19	17	9
9000	10000	42	21	20	10
10000	10750	46	23	21	11

10750	Unlimited	48	24	22	11

Estimated Annual Wages			Payroll Period
At Least	But Less Than	Monthly	Semimonthly	Biweekly	Weekly

0	1000	2	1	1	1

1000	2000	7	3	3	2
2000	3000	11	6	5	3

3000	4000	16	8	7	4
4000	5000	20	10	9	5
5000	6000	25	12	11	6
6000	7000	29	14	13	7
7000	8000	33	17	15	8
8000	9000	38	19	17	9
9000	10000	42	21	20	10
10000	11000	47	23	22	11
11000	12000	51	26	24	12
12000	13000	56	28	26	13
13000	14000	60	30	28	14
14000	15000	65	32	30	15
15000	16000	69	35	32	16
16000	Unlimited	71	36	33	16

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