Form E-500k - Solid Waste Disposal Tax Return

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Solid Waste Disposal Tax Return
North Carolina Department of Revenue
Filing Frequency:
Period Ending
File By
Number of Tons
Rate
Tax
.
,
.
,
1. Municipal Solid Waste
x
$2
=
and Construction and
Account ID:
Demolition Debris
.
Use this return only for the Period Ending date specified above. If
,
address is incorrect, complete Form NC-AC found in this booklet.
2. Penalty
.
,
3. Interest
.
,
$
4. Total Due
(Add Lines 1, 2, and 3)
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
(
)
Title:
Phone:
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0700
E-500K
10-12

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