Form E-500e - Utility And Liquor Sales And Use Tax Return

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Utility and Liquor Sales and Use Tax Return
Receipts and Purchases
Rate
Tax
.
,
,
North Carolina Department of Revenue
13.
Total Tax From Lines 8a - 12 Reverse
Filing Frequency:
.
.
,
,
,
,
14.
Spirituous Liquor
x
7%
=
Period Ending
File By
.
,
,
15.
Excess Collections
.
,
,
Municipal Electricity Deduction/
16.
Account ID:
Local Cable TV Franchise Tax Credit
.
If address is incorrect, complete Form NC-AC found in this packet.
,
,
17.
Tax Due
(Add Lines 13 - 15, Minus Line 16)
.
,
,
18.
Penalty
.
,
,
19.
Interest
.
,
,
20.
Less Prepayments
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
.
$
,
,
(
)
Title:
Phone:
21.
Total Due
(Add Lines 17-19, Minus Line 20)
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0700
E-500E
10-05

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