Form E-585s - Incentive Claim For Refund State And County Sales And Use Taxes

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4
E-585S
Incentive Claim for Refund
State and County Sales and Use Taxes
Web-Fill
PRINT
CLEAR
6-03
North Carolina Department of Revenue
For the period beginning July 1,
and ending June 30,
Legal Name (First 32 Characters)
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Account ID
Mailing Address
Fill in applicable circle:
City
State
Zip Code
County
SSN
FEIN
Name of Person We Should Contact if We Have Questions About This Claim
Contact Telephone
Business Information: Complete all sections.
NAICS Code
Type of Business:
Enterprise tier area for:
Air courier services
Electronic mail order
house with 250 new jobs
July 1 through December 31
Central office or aircraft
facility with 40 new jobs
Manufacturing
One
Two
Other
January 1 through June 30
Computer services
Warehousing
Wholesale trade
Customer service center
One
Two
Other
Data processing
Refunds are only allowed for tiers one and two.
1.
Name of Taxing County
(If more than one county, see instructions on reverse and attach Form E-536)
State
County
2.
Total Refundable Purchases of Tangible
Personal Property for Use on Which North
Carolina Sales or Use Tax Has Been Paid
Directly to Retailers
3.
Amount of Sales and Use Tax Paid Directly
to Retailers on Purchases for Use
4.
Amount of Sales and Use Tax Paid
Indirectly on Qualifying Purchases as
Shown on Contractors’ Statements
5.
Amount of Use Tax Paid Directly to the
Department of Revenue by Your Business
6.
Total Tax (Add Lines 3, 4, and 5. County tax
must be identified by rate on Line 8)
$
7.
Total Refund Requested (Add State and County tax on Line 6)
8.
Allocation of County Tax on Line 6 (Enter the county tax paid at each applicable rate. If you paid more than one
county’s tax, see the instructions on reverse and attach Form E-536)
County 2% Tax
County 2.5% Tax
Signature:
Date:
I certify that, to the best of my knowledge, this claim is accurate and complete.
Title:
Telephone:
MAIL TO: NC Department of Revenue, Examination Division, P.O. Box 25000, Raleigh, NC 27640-0001
For Departmental Use Only
Refund Approved:
State Tax
County Tax
Total Tax
As Filed
,
,
.
,
,
.
,
,
.
As Corrected
By:
Date:

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