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North Carolina Free Printable  for 2024 North Carolina Critical Infrastructure Company Notification

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Critical Infrastructure Company Notification
Form NC-CICN

NC-CICN Critical Infrastructure Company Notification Web-Fill 10-19 Legal Name Disaster Response Period Trade Name Beginning (MM-DD-YY) DOR Use Only Mailing Address City State Name of Contact Person Zip Code Phone Number 4 ✖ PRINT CLEAR Ending (MM-DD-YY) FEIN or SSN Date of Disaster Declaration Fax Number (MM-DD-YY) Schedule A. Nonresident Business Information (If additional lines are needed, attach Schedule NBI available from the Department’s website.) Legal Name Taxpayer Identification Number Principal Address (Street Address, City, State, and Zip-Code) Date of Entry into NC (MM-DD-YY) Date of Exit from NC (MM-DD-YY) A critical infrastructure company must provide notification to the Department of Revenue within 90 days of the expiration of the disaster response period. Mail this notification to: North Carolina Department of Revenue, Attn: Business Liaison - Examination Division, PO Box 871, Raleigh, North Carolina 27602-0871. Page 2, NC-CICN, Web-Fill, 10-19 Legal Name FEIN/SSN Schedule B. Nonresident Employee Information (If additional lines are needed, attach Schedule NEI available from the Department’s website.) Name (Last, First, and Middle Initial) Social Security Number Principal Address (Street Address, City, State, and Zip-Code) Date of Entry into NC (MM-DD-YY) Date of Exit from NC (MM-DD-YY) Amount of Compensation Paid for Work Performed in NC by Calendar Year Compensation Calendar Year (YYYY) Amount
Extracted from PDF file 2023-north-carolina-form-nc-cicn.pdf, last modified October 2019

More about the North Carolina Form NC-CICN Other TY 2023

We last updated the Critical Infrastructure Company Notification in February 2024, so this is the latest version of Form NC-CICN, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form NC-CICN directly from TaxFormFinder. You can print other North Carolina tax forms here.

Other North Carolina Other Forms:

TaxFormFinder has an additional 44 North Carolina income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form NC-5 Withholding Return
Form NC-478I (Obsolete) Tax Credit for Research and Development
Form NC-478G Tax Credit - Investing in Renewable Energy Property
Form NC-478 Summary of Tax Credits Limited to 50% of Tax
Form NC-BN Out-of-Business Notification

Download all NC tax forms View all 45 North Carolina Income Tax Forms


Form Sources:

North Carolina usually releases forms for the current tax year between January and April. We last updated North Carolina Form NC-CICN from the Department of Revenue in February 2024.

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Historical Past-Year Versions of North Carolina Form NC-CICN

We have a total of three past-year versions of Form NC-CICN in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:



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