Form E-595b - Application For Direct Pay Permit For Sales And Use Taxes On Telecommunication Service
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1
2Application for Direct Pay Permit
E-595B
for Sales and Use Taxes
on Telecommunications Service
3-02
North Carolina Department of Revenue
Office Use
1.
Federal Employer ID No.:
2.
N.C. Utility and Liquor Sales and Use Tax Account ID:
3.
Legal Business Name:
4.
Trade Name (DBA Name):
5.
Business Location in N.C.:
Street
(Not P.O. Box Number)
City
State
Zip Code
County
6.
Mailing Address:
Street or P.O. Box
City
State
Zip Code
7.
Number of locations in N.C.:
8.
Type of Business:
9.
Percentage of incoming telephone calls to all telephone activity at call center:
Signature:
Date:
I certify that, to the best of my knowledge, this application is accurate and complete.
Name (Print):
Title:
E-mail:
Phone:
Mail to: N.C. Department of Revenue, Sales and Use Tax Division
P. O. Box 871, Raleigh, NC 27602-0871
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Parent category: Financial