Allows income tax filers to sign up to become an organ donor through their income tax return form by creating new subsection (d1) in GS 105-153.8. Specifies that the return form must contain language on the anatomical gift process and the process for amending or revoking the donor's enrollment in the Revised Uniform Anatomical Gift Act.

Amends GS 130A-412.7 (Manner of making anatomical gift before donor's death) to add new subparagraph (a)(1a) referencing the income tax return donor option. Also adds new subsection (c2), providing that a donor election made through an income tax return remains valid until the donor revokes the consent in the manner provided by the Secretary of Revenue.

Directs the Department of Revenue and the Division of Motor Vehicles to coordinate to continuously update the Organ Donor Registry and for any other purposes needed to fulfill the purposes of the act.

Effective and applicable for tax returns filed during taxable years beginning on or after January 1, 2026.