Form Cd-312 - Excise Tax Return Of Piped Natural Gas - North Carolina Department Of Revenue

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Excise Tax Return
CD-312
Piped Natural Gas
11-01
North Carolina Department of Revenue
P
Legal Name (First 30 Characters) (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Fill in all applicable circles:
Taxpayer is a first-time filer in N.C.
Address
Payment has been made through
electronic funds transfer (EFT)
Address has changed since prior quarter
Federal Employer ID Number
-
City
State
Zip Code
Return for Quarter Ended
Month
Year
Name of person responsible for the computation of the quarterly distribution
Phone Number
-
Part 1.
Reconciliation of Amount Due for Quarter
,
,
.
1.
Tax Due on Volume Delivered to End-User or Received for Own Use
1.
00
(Total of Line 7, Reverse)
,
,
.
2.
Electronic Funds Transfer Payments
2.
00
(Total of Line 8, Reverse)
,
.
3.
Underpayment - Line 1 minus Line 2
3.
00
(Total of Line 9, Reverse)
,
.
4.
Penalty
4.
00
(Total of Line 10, Reverse)
,
.
5.
Interest
5.
00
(Total of Line 11, Reverse)
,
,
.
$
6.
Total Due with this Return - Add Lines 3, 4, and 5
6.
00
(Must equal total of Line 12, Reverse)
Signature:
Title:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
Signature of Preparer
Preparer’s
other than Taxpayer:
FEIN, SSN, or PTIN:
Tax payments are due twice a month and are required to be paid by electronic funds transfer. The first semimonthly
payment period consists of the first fifteen days of the month in which the tax accrues. The payment for this period
is due by the 25th day of that month. The other semimonthly payment covers the period from the 16th day of the
month through the last day of the month. The payment for this period is due by the 10th day of the month following
the month in which the tax accrues. Quarterly returns are due by the last day of the month following the end of
each calendar quarter.
MAIL TO: North Carolina Department of Revenue, P.O. Box 25000, Raleigh, North Carolina 27640-0510

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