Ro 1062 Form PDF Details

Understanding the intricacies of the Form RO-1062, provided by the North Carolina Department of Revenue, is crucial for individuals looking to comprehensively outline their financial situation. This multi-page document serves a pivotal role for taxpayers by collecting detailed information regarding personal, employment, and financial aspects, including assets, liabilities, and other significant fiscal data. The form meticulously gathers taxpayers' names, addresses, social security numbers, marital status, and dependents' details in the initial sections, ensuring a holistic view of the individual's personal context. Employment and income details are then explored, requiring information about both the taxpayer's and their spouse's employers, occupation types, and income sources. The form delves deeper into the financial landscape of an individual by requiring disclosures about liquid assets, investment accounts, real property, licensed assets like vehicles, other personal assets, liabilities including secured and unsecured debts, and even anticipates future financial changes. Additionally, it serves as a tool for assessing monthly income versus living expenses, helping to paint a clear picture of the taxpayer’s financial health. Sections dedicated to self-employed individuals require further specifics about business operations. Completing this form accurately is not only a testament to transparency but also aids in gaining a clearer understanding of one’s financial standing, which is paramount for resolving any tax-related matters efficiently.

QuestionAnswer
Form NameRo 1062 Form
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesirs form 1062, ro 1062 form, fillable ncdor form ro 1062, form 1062 irs

Form Preview Example

Form RO-1062

Web-fill (Rev. 4-10)

N.C Department of Revenue

Collection Information Statement for Individuals

 

 

 

 

Note: Complete all blocks, except shaded areas. Write "N/A" (not applicable) in those blocks that do not apply.

1.

Taxpayers' names and address (including County)

 

 

2a. Home phone number

 

 

 

3a. Taxpayer's social security number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3b. Spouse's social security number

 

 

 

 

 

 

 

 

 

 

2b. Cell phone number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4a. Taxpayer's date of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

# of years at this address

 

 

2c. Business phone number

 

 

 

4b. Spouse's date of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Own

 

 

Rent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 1.

 

 

 

 

 

Personal Information

 

 

 

 

 

 

5.

Do you have a power of attorney for tax matters?

If yes, please attach a copy.

Marital Status:

 

 

 

 

 

yes

 

 

 

no

 

 

 

 

 

married

 

unmarried (single, divorced, widowed)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Age and relationship of dependents (exclude yourself and spouse) living in your household.

Section 2.

 

Employment Information

 

 

 

 

7.

Taxpayer's employer or business

 

7a.

How long employed

7c.

Occupation

7e.

(Check appropriate box)

 

(name and address)

 

 

 

 

 

 

 

 

Wage earner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7b.

Number of exemptions

7d.

Paydays

 

 

Sole proprietor

 

 

 

 

claimed on Form NC-4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partner/Member

 

 

 

 

 

 

 

 

 

 

 

8.

Spouse's employer or business

 

8a.

How long employed

8c.

Occupation

8e.

(Check appropriate box)

 

(name and address)

 

 

 

 

 

 

 

 

Wage earner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8b.

Number of exemptions

8d.

Paydays

 

 

Sole proprietor

 

 

 

 

claimed on Form NC-4

 

 

 

 

 

Business phone #

 

 

 

 

 

 

 

 

Partner/Member

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. Latest filed income tax

10. Number of exemptions

11. Adjusted Gross Income

 

 

 

return (tax year)

claimed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 3

 

Liquid Assets

 

 

 

 

 

 

12.Cash on hand

13.Bank accounts (Include Savings & Loans, Credit Unions, Certificates of Deposit, etc.)

Name of Institution

Address

Type of Account

Account No.

3 month average

 

 

 

 

ending balance

13a.

13b.

13c.

13d.

13e. Total

14. Investment Accounts

Include stocks, bonds, mutual funds, stock options, certificates of deposit, and retirement assets such as IRAs, Keogh, and 401(k) plans.

Include all corporations, partnerships, limited liability companies or other business entities in which the individual is an officer, director, owner, member, or otherwise has a financial interest.

 

 

 

 

Loan Balance

 

 

 

 

 

(if applicable)

 

Type of Investment

Full Name & Address(City, State, Zip Code)

Current

As of

 

 

Equity

or Financial Interest

of Company

Market Value

 

mm/dd/yyyy

Value Minus Loan

14a.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14c.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14d.

Total Equity (Add lines 14a through 14c and amounts from any attachments)

 

 

 

 

 

Form RO-1062 page 1 (Rev. 4-10)

15. Life Insurance (Name of Company)

 

Policy Number

Type

Face Amount

Available Cash Value

 

 

 

 

 

 

15a.

 

 

 

 

 

 

 

 

 

 

 

15b.

 

 

 

 

 

15c. Total

 

 

 

 

 

Section 4

Real Property

 

 

 

16.Real property owned, rented, and leased. Include all real property and land contracts. (For personal and business use if sole proprietor) 16a. Primary Residence

Purchase/Lease Date

 

 

County

Current Fair Market

Current Loan

Amount of Monthly

Date of Final

Equity

 

(mm/dd/yy)

 

Tax Value

 

Value (FMV)

Balance

Payment

Payment

FMV minus loan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property Location (Street, Address, State, ZIP code)

 

 

 

Lender/Lessor/Landlord Name, Address, (Street, Address, State, ZIP code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property County

 

 

 

 

 

 

 

Landlord/Lessor Phone Number

 

 

 

 

First Mortgage Holder

 

 

 

 

 

 

 

Second Mortgage/Home Equity Line

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16b.

Property Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchase/Lease Date

 

 

County

Current Fair Market

Current Loan

Amount of Monthly

Date of Final

Equity

 

(mm/dd/yy)

 

Tax Value

 

Value (FMV)

Balance

Payment

Payment

FMV minus loan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property Location (Street, Address, State, ZIP code)

 

 

 

Lender/Lessor/Landlord Name, Address, (Street, Address, State, ZIP code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property County

 

 

 

 

 

 

 

Landlord/Lessor Phone Number

 

 

 

16c. Total Fair Market Value

 

16d. Total Current Loan Balance

 

16e. Net Equity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attach additional sheets as needed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 5.

 

 

 

 

 

Licensed Assets/Vehicles

 

 

 

 

 

17.

Vehicles Purchased Include boats, RVs, motorcycles, trailers, etc. (For personal and business use if sole proprietor)

 

 

 

 

17a. Description

 

Purchase Date

Current Fair Market

Current Loan

Amount of Monthly

Date of Final

Equity

 

(Make, Model,

 

(mm/dd/yy)

 

Value (FMV)

Balance

Payment

Payment

FMV minus loan

 

Year, Mileage)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lender/Lessor Name, Address, (Street, Address, State, ZIP code)

 

 

 

Make

Model

Year

 

 

Mileage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17b. Description

 

Purchase Date

Current Fair Market

Current Loan

Amount of Monthly

Date of Final

Equity

 

(Make, Model,

 

(mm/dd/yy)

 

Value (FMV)

Balance

Payment

Payment

FMV minus loan

 

Year, Mileage)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lender/Lessor Name, Address, (Street, Address, State, ZIP code)

 

 

 

Make

Model

Year

 

 

Mileage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17c. Description

 

Lease Date

Current Fair Market

Current Loan

Amount of Monthly

Date of Final

Equity

 

(Make, Model,

 

(mm/dd/yy)

 

Value (FMV)

Balance

Payment

Payment

FMV minus loan

 

Year, Mileage)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lender/Lessor Name, Address, (Street, Address, State, ZIP code)

 

 

 

Make

Model

Year

 

 

Mileage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17d. Total Current Fair Market Value

 

17e. Total Current Loan Balance

 

17f. Net Equity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form RO-1062 page 2 (Rev. 4-10)

Section 6.

 

 

 

 

 

 

 

 

Other Personal Assets

 

 

 

 

 

 

 

 

 

18. Other Assets (Include all assets listed on homeowners insurance policy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current

 

Liabilities

 

 

Equity

 

Amount of

 

 

 

 

 

 

 

 

Date of

Description

 

Market

 

Balance

 

 

In

 

Monthly

 

Name and Address of

 

 

Date

 

Final

 

 

 

Value

 

Due

 

 

Asset

 

Payment

 

Lien/Note Holder/Obligee

 

 

Pledged

 

Payment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18a.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18c .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18d. Total Current Fair Market Value

 

18e. Total Current Loan Balance

 

 

18f. Net Equity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 7.

 

 

 

 

 

Judgments & Secured Liens (other secured debts)

 

 

 

 

 

 

19. Other Liabilities (Include judgments and any secured debt)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Liabilities

 

 

 

 

Amount of

 

 

 

 

 

 

 

 

 

 

Date of

Description

 

Balance

 

 

 

 

Monthly

 

 

 

Name and Address of

 

 

 

Date

 

Final

 

 

 

 

Due

 

 

 

 

Payment

 

 

Lien/Note Holder/Obligee

 

 

Pledged

 

Payment

19a. IRS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19c.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19d.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance Due

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 8.

 

 

 

 

 

 

 

 

Notes, Charge Accounts and Medical Expenses

 

 

 

 

 

 

20. Available Credit (list bank charge cards, credit unions, lines of credit, medical expenses)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Account

 

 

 

 

Name and Address of

 

 

Monthly

 

Credit

Amount

Credit

 

or Card

 

 

 

 

Financial Institution

 

 

Payment

 

Limit

Owed

Available

20a.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20c.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20d.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20e. Total Credit Available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 9.

 

 

 

 

 

 

 

 

Other Financial Information

 

 

 

 

 

 

 

21. Other information relating to your financial condition. If you check the yes box, please give dates and explain under remarks.

 

 

 

 

 

 

a. Court proceedings

 

 

 

 

 

Yes

 

 

No

b. Bankruptcies

 

 

 

Yes

 

No

Remarks:

 

 

 

 

 

 

 

 

 

 

 

Remarks:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Repossessions

 

 

 

 

 

Yes

 

 

No

d. Recent transfer of assets

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

for less than full value

 

 

 

 

 

 

 

Remarks:

 

 

 

 

 

 

 

 

 

 

 

Remarks:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. Anticipated increase in income

 

 

Yes

 

 

No

f. Participant or beneficiary to trust,

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

estate, profit sharing, etc.

 

 

 

 

 

 

 

Remarks:

 

 

 

 

 

 

 

 

 

 

 

Remarks:

 

 

 

 

 

 

 

 

 

g. Do you receive government assistance

 

 

h. Are all required state tax returns filed?

 

based on disability and/or financial need?

Yes

No

Yes

No

Remarks:

Remarks:

Form RO-1062 page 3 (Rev. 4-10)

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When it comes to blanks of this particular document, here is what you need to know:

1. It is crucial to fill out the form 1062 irs correctly, so be careful when filling in the areas comprising these particular fields:

nc state form r0 1062 completion process outlined (portion 1)

2. Soon after completing the last section, head on to the next part and fill out the essential particulars in all these fields - Latest filed income tax, return tax year, Number of exemptions, Adjusted Gross Income, claimed, Section Cash on hand Bank, Liquid Assets, Name of Institution, Address, Type of Account, Account No, month average ending balance, e Total, Investment Accounts, and Include stocks bonds mutual funds.

Completing part 2 of nc state form r0 1062

3. The next step is fairly easy, Life Insurance Name of Company, Policy Number, Type, Face Amount, Available Cash Value, c Total Section Real property, Real Property, a Primary Residence, PurchaseLease Date, mmddyy, County, Tax Value, Current Fair Market, Current Loan, and Amount of Monthly - all of these form fields has to be completed here.

Part # 3 for submitting nc state form r0 1062

Those who work with this form generally make mistakes when completing Real Property in this section. Be certain to double-check whatever you type in here.

4. To go onward, the next part involves completing a couple of empty form fields. Included in these are Property Location Street Address, LenderLessorLandlord Name Address, Property County, LandlordLessor Phone Number, c Total Fair Market Value, d Total Current Loan Balance, e Net Equity, Section, Vehicles Purchased Include boats, Attach additional sheets as needed, Licensed AssetsVehicles, a Description, Purchase Date, Current Fair Market, and Current Loan, which are vital to moving forward with this document.

Completing segment 4 of nc state form r0 1062

5. This final step to conclude this document is critical. You must fill out the required form fields, including d Total Current Fair Market Value, e Total Current Loan Balance, f Net Equity, and Form RO page Rev, prior to finalizing. Neglecting to do it can contribute to a flawed and possibly unacceptable document!

Completing part 5 in nc state form r0 1062

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