Form NC-NPA Fillable Nonresident Partner Affirmation
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(Fill in applicable circle) Note: This form is not applicable to nonresident partners who are individuals or grantor trusts (MM DD YY) beginning (MM DD YY) ending (MM DD YY) beginning (MM DD YY) ending 1 The entity above is a nonresident partner in the partnership shown above and 10 13 2 I will timely file the entity s applicable income tax return and pay the tax imposed above (Note: This form is not applicable to nonresident partners who are individuals or grantor trusts ) Payment by North Carolina on the entity s share of the partnership income D 403 Date nonresident became General Instructions I affirm that: In a partnership having one or more nonresident partners the managing partner is responsible for reporting the share of the income and paying the tax due for each nonresident partner However if the nonresident partner is a corporation partnership NC NPA Nonresident Partner Affirmation Nonresident Partner s Identifying Number Partnership s Federal Employer ID Number Nonresident Partner s Name Address and Zip Code Partnership s Name Address and Zip Code of the tax due by the managing partner on behalf of corporations partnerships trusts or estates that are partners does not partner in partnership Partner s Tax Year Partnership s Tax Year Partner sAffirmation partnership trust or estate income tax return This form must be attached to the partnership return of the partnership shown relieve the partner from filing a North Carolina tax return Signature of Manager Officer or Fiduciary Date the partner signs this Nonresident Partner Affirmation affirming that the partner will pay the tax with its corporation trust or estate the managing partner is not required to pay the tax on that partner s share of the partnership income provided Type of Partner: S CorporationC Corporation Partnership Estate or Trust Web North Carolina Department of Revenue