4
E-585S
Incentive Claim for Refund
Web-Fill
State and County Sales and Use Taxes
6-07
PRINT
CLEAR
North Carolina Department of Revenue
Account ID
and ending
For the period beginning
Legal Name (First 32 Characters)
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Fill in applicable circle:
Mailing Address
SSN
FEIN
City
State
Zip Code
County
NAICS Code
Name of Person We Should Contact if We Have Questions About This Claim
Contact Telephone
Select
Major Recycling Facility Refund - G.S. 105-164.14(g)
Refund
Low Enterprise or Development Tier Machinery Refund - G.S. 105-164.14(h)
Type:
Select type of business and tier area for each six-month period. (DT) are for Development Tiers only.
Air courier services
Aircraft maintenance and repair (DT)
Company headquarters (DT)
Computer services
Customer service center
Central office or aircraft facility
Data processing
Electronic mail order house
Information technology & services (DT)
Manufacturing
Motorsports facility (DT)
Motorsports racing team (DT)
Research and development
Warehousing
Wholesale trade
Select Enterprise Tier:
7/1 - 12/31:
One
Two
Other
1/1 - 6/30:
One
Two
Other
Select Development Tier:
7/1 - 12/31:
One
Other
1/1 - 6/30:
One
Other
Nonprofit Insurance Company Refund - G.S. 105-164.14(i)
Industrial Facility Refund - G.S. 105-164.14(j) Select type of business and tier area.
Air courier services
Aircraft manufacturing
Bioprocessing
Computer manufacturing
Financial services, securities operations, and related systems development
Motor vehicle manufacturing
Pharmaceutical and medicine manufacturing and distribution
Semiconductor manufacturing
Select tier area :
One
Two
Three
Other
Professional Motor Racing Vehicles Refund - G.S. 105-164.14(m) -Taxes paid on and after July 1, 2007
(Complete Parts 2 and 3 on Page 2)
Part 1 - To be completed for all refunds except Professional Motor Racing Vehicles Refunds
1.
Name of Taxing County
(If more than one county, see instructions and attach Form E-536)
State
County
2.
Total Refundable Purchases of Tangible Personal
Property for Use on Which North Carolina Sales
0.00
0.00
or Use Tax Has Been Paid Directly to Retailers
3.
Amount of Sales and Use Tax Paid Directly
0.00
0.00
to Retailers on Purchases for Use
4.
Amount of Sales and Use Tax Paid Indirectly
on Qualifying Purchases as Shown on
0.00
0.00
Contractors’ Statements
5.
Amount of Use Tax Paid Directly to the
0.00
0.00
Department of Revenue by Your Business
6.
Total Tax (Add Lines 3, 4, and 5.
County tax must be identified by rate on Line 12)
0.00
0.00
Complete Lines 11 and 12 in Part 3 on Page 2.
1
2
