Enter Your Information Below, Then Click on "Create Form" to Create the Personalized Form "NC-5, Withholding Return"

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Account ID Filing Frequency Period Ending File By (mm/dd/yy)
       
Legal Name, First Line  
 
 
Legal Name, Second Line  
 
 
Address
City State Zip Code
 
Tax Withheld
 Penalty Interest Total Due
$ .00
$ .00
$ .00
$ .00

 

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Use the "Create Form" button located below to generate the printable form.