Applicant
Title of Applicant
Title of Production
Type of Production
Select Type of Production
Feature
TV/Cable series/episode
TV/Cable movie
Commercial
Other...
Production Company
Address
City
State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone
Fax
Email
Federal ID#
Approx. # of Crew
Approx. # of NC Cast
Approx. # of NC Extras
Total Production Budget
Estimated NC Spend
Preproduction
(Starting Date of Opening Office in NC)
From
To
Principal Photography (Dates)
From
To
Wrap (Dates)
From
To
Location Areas (City/Towns)
Producer Information
Producer Name
Phone Number
Email
Line Producer Or UPM Name
Title
Phone Number
Email
Production's Financial Contact (person who will be filing taxes/receipts with NCDOR)
Name
Address
City
State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone
Fax
Email