North Carolina Department of Revenue
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Enter Your Information Below, Then Click on "Create Form" to Create the Personalized Form "NC-5P, Withholding Payment Voucher"

Click here for help if the form does not appear after you click "create form".  

     
 
Account ID
Tax Year
Date Compensation Paid
/ /
 
  Legal Name, First Line
 
 
  Legal Name, Second Line
 
 
  Address
 
  City State/Province Zip Code
 
 
Amount of the Payment
$ .00 Do not print this page.
Use the "Create Form" button located below to generate the printable form.