Form E -500a - Sales And Use Tax Report
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1
2DO NOT FOLD
RECEIPTS/PURCHASES
1.
NONTAXABLE RECEIPTS
(LINE 30 REVERSE)
Form E- -500A (Rev. 7- -98)
2.
SALES FOR RESALE
RATE
TAX
SALES AND USE TAX REPORT
3.
RECEIPTS - - 4% STATE RATE
x4% =
NORTH CAROLINA DEPARTMENT OF REVENUE
P . O. BOX 25000
4.
RECEIPTS (FOOD) - - 2% STATE RATE
x2% =
RALEIGH, NORTH CAROLINA 27640
5.
RECEIPTS - -3% STATE RATE
x3% =
6.
RECEIPTS - - 2% STATE RATE
x2% =
REPORT FOR MONTH OF, QUARTER ENDING OR
7.
RECEIPTS - - 1% STATE RATE
x1% =
SEMIMONTHLY PERIOD ENDING _____________
8.
EXCESS COLLECTIONS
9.
PURCHASES - - 4% STATE RATE
x4% =
SALES & USE TAX ACCOUNT ID
10. PURCHASES (FOOD) - - 2% STATE RATE
x2% =
11. PURCHASES - - 1% STATE RATE
SIGN ON
x1% =
REVERSE SIDE
12. RECEIPTS/PURCHASES- -2% CO.
x2% =
COUNTY:
13. TOTAL TAX- -ADD LINES 3, 4, 5, 6, 7, 8,
9, 10, 11 & 12
NOTE
14. ADD PENALTY - - STATE & COUNTY
Refer to Page 3
of instructions
15. ADD INTEREST - - STATE & COUNTY
for penalty and
16. LESS ANY CREDIT
interest
ATTACH EXPLANATION
calculation.
17. TOTAL AMOUNTS DUE
STATE & COUNTY
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Parent category: Financial