Form D-422A Fillable Annualized Income Installment Worksheet
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

1 1 14 to 1 1 14 to 1 Enter your federal adjusted gross income for each period 1 10 Multiply line 8 by line 9 10 11 Enter the N C standard deduction from Form D 400 page 1 line 11 11 12 14 12 31 14 12 Enter line 10 or 11 whichever is larger 12 13 Line 7 minus line 12 13 14 Figure your tax by multiplying the amount on line 13 by 5 8% ( 058) 15 Applicable percentage 15 22 5% 45% 67 5% 90% 16 Multiply line 14 by line 15 16 17 Enter the combined amounts of line 23 for all preceding periods 17 18 Line 16 minus Line 17 If less than zero enter zero 18 19 Divide line 8 Page 1 of Form D 422 by four (4) and enter theresult in each column 19 2 Enter the applicable additions to federal adjusted gross income (line 7 of 20 Enter the amount from line 22 of this worksheet for the preceding column 20 21 Add lines 19 and 20 and enter the total 21 22 If line 21 is more than line 18 subtract line 18 from line 21 23 Enter the smaller of line 18 or line 21 here and on Form D 422 line 16 23 3 31 14 3 Add lines 1 and 2 3 4 Enter the applicable deductions from federal adjusted gross income (line 5 31 14 5 Line 3 minus line 4 5 6 Annualized amounts 6 4 2 4 1 5 1 7 Annualized Income Multiply line 5 by line 6 7 8 31 14 8 Enter your itemized deductions from Form D 400 page 1 line 11 for theperiod shown in each column If you do not itemize deductions enter zeroand skip to line 11 8 9 Annualized amounts 9 4 2 4 1 5 1 9 of Form D 400) for each period 4 able to lower or eliminate the amount of your required installment for the Annualized Income Annualized Income Installment Worksheet by the amount saved by using the annualized income installment method in column of line 16 of Form D 422 and check the box on that line Complete one column through line 25 before completing the next column D 422A D 422A Annualized Income Installment Worksheet to figure the amounts Do not file this form with your return Keep it for your records due date you must use it for all payment due dates To arrive at the amount due dates by using the annualized income installment method Use Form example if the income from North Carolina sources was received in November example you operated your business on a seasonal basis you may be figuring earlier installments) If you use the annualized income installment Form D 400) for each period 2 If you use the Annualized Income Installment Worksheet for any payment Important Information for Part Year Residents and Nonresidents: Partyear Individuals Also enter the letter A in the box by line 23e of Form D 400 Installment Worksheet 2014 Instructions method you must enter the amount from line 23 of the worksheet in each Name(s) shown on tax return Social Security Number nonresidents must multiply any amount(s) on line 13 by the decimal amount of each required installment the worksheet automatically selects the smaller of the annualized income installment or the regular installment (increased only complete only the last column In addition part year residents and Otherwise enter zero 22 Purpose of Form If your income varied during the year because for residents and nonresidents should complete only the column(s) for shown on line 13 of Form D 400 before determining the tax on line 14 Subtract the tax credits shown on line 2 Part 1 Form D 422 and enter the net amount for each period 14 the period(s) in which they had income from North Carolina sources For to enter on line 16 of Form D 422 Underpayment of Estimated Tax by