Do not send a photocopy of this form. 2023 N.C. Adjustments for Individuals D-400 Schedule S Your Social Security Number Last Name (First 10 Characters) If you are required to add certain items to federal adjusted gross income on Form D-400, Line 7, or if you are entitled to take deductions from federal adjusted gross income on Form D-400, Line 9, you must complete and attach this schedule to Form D-400. Importantly, you must attach both pages of this schedule to Form D-400, even if you are only required to complete one part of the schedule. If you do not, the Department may be unable to process your return. DOR Use Only Part A. Additions to Federal Adjusted Gross Income (Only add items that are not included in federal adjusted gross income) Web-Fill 8-23 Interest Income From Obligations of States Other Than N.C. 1. 1. Deferred Gains Reinvested Into an Opportunity Fund 2. 2. IRC Section 179 Expense 4. 4. Bonus Depreciation 3. 3. S-Corporation Shareholder Built-in Gains Tax 5. 5. Amount by Which Federal Basis Exceeds State Basis for Property Disposed of in 2023 6. 6. Federal Net Operating Loss Deduction 7. 7. State, Local, or Foreign Income Tax Deducted by an S Corporation, Partnership, or Estate and Trust 8. 8. Withdrawal of 529 Plan Contributions Not Used for Permissible Purpose 9. 9. Discharge of Qualified Principal Residence Indebtedness 10. 10. Qualified Education Loan Payments Paid by Employer 11. 11. Expenses Allocable to Income Exempt or Excluded From Gross Income (New for 2023) 12. 12. Discharge of Certain Student Loan Debt 13. 13. Total Additions - Add Lines 1 through 15 (Enter the total here and on Form D-400, Line 7) 16. 16. Reserved for Future Use 15. 15. Taxed Pass-Through Entity Loss 14. 14. DO NOT HANDWRITE ON THIS FORM DO NOT HANDWRITE ON THIS FORM 4 PRINT  CLEAR

Last Name (First 10 Characters) Your Social Security Number 2023 Tax Year Page 2 D-400 Sch. S Web-Fill 8-23 Part B. Deductions From Federal Adjusted Gross Income (Only deduct items that are included in federal adjusted gross income) State or Local Income Tax Refund 17. 17. Interest Income From Obligations of the United States or United States’ Possessions 18. 18. Taxable Portion of Social Security and Railroad Retirement Benefits 19. 19. Retirement Benefits Received by Vested N.C. State Government, N.C. Local Government, or Federal Government Retirees, i.e. Bailey Settlement 20. 20. Certain Retirement Benefits Received by a Retired Member of the United States Uniformed Services Not Deducted on Line 20 21. 21. Bonus Asset Basis 22. 22. Recognized IRC Section 1400Z-2 Gain 25. 25. Gain From the Disposition of Exempt N.C. Obligations Issued Before July 1, 1995 26. 26. Exempt Income Earned or Received by a Member of a Federally Recognized Indian Tribe 27. 27. Amount by Which State Basis Exceeds Federal Basis for Property Disposed of in 2023 28. 28. Ordinary and Necessary Business Expense Reduced or not Allowed Due to Claiming a Federal Tax Credit in Lieu of a Deduction 29. 29. Personal Education Student Account Deposits 30. 30. Certain State Emergency Response and Disaster Relief Reserve Fund Payments 31. 31. Certain Economic Incentive Payments 32. 32. Certain N.C. Grant Payments 33. 33. Certain Net Operating Loss Carrybacks (Limited to 20% of amount added to AGI in tax years 2013 through 2019) 34. 34. Excess Net Operating Loss Carryforward (Limited to 20% of amount added to AGI in 2019 and 2020) 35. 35. Excess Business Loss (Limited to 20% of amount added to AGI in 2018, 2019, and 2020) 36. 36. Total Deductions - Add Lines 17 through 22, 23f, 24f, and 25 through 40 (Enter the total here and on Form D-400, Line 9) 41. 41. Reserved for Future Use 40. 40. Bonus Depreciation 23. 23a. 2018 23b. 2019 23c. 2020 23d. 2021 23e. 2022 23f. Total (Add Lines 23a -23e) IRC Section 179 Expense 24. 24a. 2018 24b. 2019 24c. 2020 24d. 2021 24e. 2022 24f. Total (Add Lines 24a -24e) Business Interest Limitation (Limited to 20% of amount added to AGI in 2019 and 2020) 37. 37. Taxed Pass-Through Entity Income 38. 38. N.C. Net Operating Loss 39. 39.