Sales And Use Tax Return - North Carolina Department Of Revenue
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14
Sales and Use Tax Return
E-500
Web-Fill
North Carolina Department of Revenue
PRINT
CLEAR
10-10
Legal Name (First 24 Characters)
Period Beginning (MM-DD-YY)
Street Address
Period Ending (MM-DD-YY)
Account ID
City
State
Zip Code (5 Digit)
1.
North Carolina Gross Receipts
0.00
(Do not include tax collected)
0.00
2.
Sales for Resale
(Do not include on Line 3 below)
3.
Receipts Exempt From State Tax
0.00
Tax Type
Purchases for Use
Receipts
Rate
Tax
4a.
Gen. State Rate
x
=
+
5.75%
0.00
0.00
0.00
10/1/10-6/30/11
4b.
Gen. State Rate
x
=
+
4.75%
0.00
0.00
0.00
Effective 7/1/11
+
x
3%
5.
3% State Rate
=
0.00
0.00
0.00
6. 2.5% State Rate
x
2.5%
=
+
0.00
0.00
0.00
Modular Homes
7. 2% State Rate
+
x
2%
=
0.00
0.00
0.00
8.
2% Food Rate
x
2%
=
+
0.00
0.00
0.00
9.
2% County Rate
x
2%
=
+
0.00
0.00
0.00
See Instructions
x
2.25%
10.
2.25% County Rate
=
+
0.00
0.00
0.00
11.
0.5% Transit
x
0.5%
=
+
0.00
0.00
0.00
County Rate
12.
0.25% Transit
x
0.25%
+
=
0.00
0.00
0.00
County Rate
13.
Total State and County Tax
(Add Tax From Lines 4 through 12)
0.00
14.
Excess Collections
0.00
15.
Total Tax
(Add Lines 13 and 14)
0.00
16.
Penalty - State and County
0.00
17.
Interest - State and County
0.00
18.
Less Prepayment for This Period
0.00
19.
Prepayment for Next Period
0.00
20.
Less any Credit
)
(Attach explanation
0.00
$
21.
Total Due
(Add Lines 15 - 17 and 19, Minus Lines 18 and 20)
0.00
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
Title:
Phone:
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0700
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