Sales and Use Tax Return
Tax
On Reverse
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North Carolina Department of Revenue
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If address is incorrect, complete Form NC-AC found in this booklet.
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(Attach explanation
Signature:
Date:
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I certify that, to the best of my knowledge, this return is accurate and complete.
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Title:
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Phone:
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0700
E-500
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