Form Nc4 Ez PDF Details

The new Form NC4 Ez is a shorter, simpler tax form that is designed for use by taxpayers who have income from only sources within North Carolina. The form can be used to report income, deductions, and credits from all types of income, including wage and salary income, interest and dividends, pensions and annuities, alimony received, and capital gains. The NC Department of Revenue has created a helpful online guide to help taxpayers complete the Form NC4 Ez. The guide explains each part of the form and provides instructions on how to enter information correctly. The deadline for filing Form NC4 Ez is April 15th.

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QuestionAnswer
Form NameForm Nc4 Ez
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnc 4ez2021, nc 4ez printable, nc 4ez 2020 form, nc 4

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Instructions

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NC-4EZ

 

 

Web

 

Employee’s Withholding

11-19

 

Allowance Certificate

 

 

 

 

 

 

 

 

 

 

 

 

 

Filing Status (Mark one box only)

 

 

Single or Married Filing Separately

 

Head of Household

 

 

 

Married Filing Jointly or Surviving Spouse

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

M.I.

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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County (Enter first five letters)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

Zip Code

 

Country (If not U.S.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Instructions. Use Form NC-4EZ if you:

Plan to claim the N.C. Standard Deduction

Plan to claim the N.C. Child Deduction Amount (but no other N.C. deductions)

Do not plan to claim N.C. tax credits

Qualify to claim exempt status (See Lines 3 or 4 below)

Important. If you plan to claim N.C. itemized deductions or plan to claim other N.C. deductions (other than the N.C. Child Deduction Amount), you must complete Form NC-4. If you are a nonresident alien, you must complete Form NC-4 NRA. In general, a nonresident alien is an alien (not a U.S. citizen) who has not passed the green card test or the substantial presence test. (See Publication 519, U.S. Tax Guide for Aliens, for more information on the green card test and the substantial presence test.)

If you plan to claim the N.C. Child Deduction Amount, use the table below for your filing status, amount of income, and number of children under age 17 to determine the number of allowances to enter on Line 1. For married taxpayers, only one spouse may claim the allowance for the N.C. Child Deduction Amount for each child.

Single & Married Filing Separately

Married Filing Jointly & Surviving Spouse

Head of Household

Income

# of Children under age 17

 

 

1 2 3 4 5 6 7 8 9 10

# of Allowances

0 - 20,000 1 2 3 4 5 6 7 8 9 10 20,001 - 30,000 0 1 2 3 4 4 5 6 7 8 30,001 - 40,000 0 1 1 2 3 3 4 4 5 6 40,001 - 50,000 0 0 1 1 2 2 2 3 3 4 50,001 - 60,000 0 0 0 0 1 1 1 1 1 2 60,001 and over 0 0 0 0 0 0 0 0 0 0

Income

# of Children under age 17

1 2 3 4 5 6 7 8 9 10

# of Allowances

0 - 40,000 1 2 3 4 5 6 7 8 9 10 40,001 - 60,000 0 1 2 3 4 4 5 6 7 8 60,001 - 80,000 0 1 1 2 3 3 4 4 5 6 80,001 -100,000 0 0 1 1 2 2 2 3 3 4 100,001 -120,000 0 0 0 0 1 1 1 1 1 2 120,001 and over 0 0 0 0 0 0 0 0 0 0

Income

0 - 30,000

30,001 - 45,000

45,001 - 60,000

60,001 - 75,000

75,001 - 90,000

90,001 and over

# of Children under age 17

1 2 3 4 5 6 7 8 9 10

# of Allowances

1

2

3

4

5

6

7

8

9

10

0

1

2

3

4

4

5

6

7

8

0

1

1

2

3

3

4

4

5

6

0

0

1

1

2

2

2

3

3

4

0

0

0

0

1

1

1

1

1

2

0

0

0

0

0

0

0

0

0

0

1.Total number of allowances you are claiming (Enter zero (0), or the number of allowances from the table above)

2.

Additional amount, if any, you want withheld from each pay period (Enter whole dollars)

 

.00

 

 

 

 

 

 

3.

I certify that I am exempt from North Carolina withholding because I meet both of the following conditions:

 

 

 

 

• Last year I was entitled to a refund of all State income tax withheld because I had no tax liability; and

Check Here

 

• This year, I expect a refund of all State income tax withheld because I expect to have no tax liability.

 

 

4.

IcertifythatIamexemptfromNorthCarolinawithholdingbecauseImeettherequirementssetforthintheServicemembers

Check Here

 

Civil Relief Act, as amended by the Military Spouses Residency Relief Act and Veterans Benefits and Transition Act.

 

 

 

 

(See Form D-401, North Carolina Individual Income Tax Instructions, for more information.)

 

 

 

If an exemption on Line 3 or Line 4 applies to you, enter the year the exemption became effective

 

 

 

 

 

 

YYYY

 

 

5. I certify that I no longer meet the requirements for an exemption on Line 3

or Line 4

(Check applicable box)

Therefore, I revoke my exemption and request that my employer withhold North Carolina income tax based on the

number of allowances entered on Line 1 and any additional amount entered on Line 2.

Check Here

CAUTION: If you furnish an employer with an Employee’s Withholding Allowance Certificate that contains information which has no reasonable basis and results in a lesser amount of tax being withheld than would have been withheld had you furnished reasonable information, you are subject to a penalty of 50% of the amount not properly withheld.

Employee’s Signature

Date

 

 

 

I certify, under penalties provided by law, that I am entitled to the number of withholding allowances claimed on Line 1 above, or if claiming exemption from withholding, that I am entitled to claim the exempt status on Line 3 or 4, whichever applies.

Watch Form Nc4 Ez Video Instruction

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