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

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Utility and Liquor
1-7. On Reverse
Receipts and Purchases
Rate
Tax
.
Sales and Use Tax Return
8.
Electricity for Farmers,
.
,
,
,
,
x
2.83%
=
Manufacturers, and Laundries
North Carolina Department of Revenue
.
.
,
,
,
,
9.
Other Electricity Service
x
3%
=
Filing Frequency:
.
.
,
,
,
,
Payment By:
Check
EFT
Telecommunications Service
10.
x
6%
=
Period Ending
File By
.
.
,
,
,
,
11.
Satellite Service
x
5%
=
.
.
Account ID
,
,
,
,
12.
Spirituous Liquor
x
6%
=
.
,
,
13.
Municipality Tax Credit
(Line 7 Reverse)
.
,
,
14.
Tax Due
(Add Lines 8 - 12, Minus Line 13)
.
,
,
15.
Penalty
.
,
,
16.
Interest
.
,
,
17.
Less Prepayments
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
.
18. Total Due
$
,
,
(Add Lines 14 - 16, Minus Line 17)
(
)
Title:
Phone:
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0710
E-500E
1-02

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