Form E-500h - White Goods Disposal Tax Return - North Carolina Department Of Revenue

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White Goods Disposal Tax Return
North Carolina Department of Revenue
Quantity
Filing Frequency:
,
Period Ending
File By
1. Exempt White Goods Sold
Rate
Tax
,
2.
Taxable White Goods Sold Plus
,
.
Account ID
x
$3
=
Those Purchased for Own Use
,
.
Same as
3. Total Tax
Line 2
,
.
4. Penalty
,
.
5. Interest
,
.
Add Lines
$
Signature:
Date:
6. Total Due
3, 4, & 5
I certify that, to the best of my knowledge, this return is accurate and complete.
(
)
Phone:
Title:
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0710
E-500H
10 - 99

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