(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
