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Shareholder s Share of North Carolina Income Adjustments and Credits NC K-1 CD-401S Web 12-00 North Carolina Department of Revenue Shareholder s Identifying Number Federal Employer ID Number Corporation s Name Address and Zip Code For calendar year and ending or other tax year beginning ownership for tax year Shareholder s Pro Rata Share Items Nonresident Shareholder Agreement Form NC-NA has been filed Amount Yes No Individuals Filing Form D-400 ...
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