NORTH CAROLINA DEPARTMENT OF REVENUE
P. O. BOX 25000
SUBMIT IN DUPLICATE
RALEIGH, N. C. 27640
Form E--588
(Rev. 9--96)
CLAIM FOR REFUND OF STATE AND COUNTY SALES AND USE TAXES
Name
Account ID
Trading As
SSN/FEIN
Street or P. O. Box
Telephone No.
City and State
Zip Code
County
Location of Records (If different from above)
Period Covered by Claim
Date of Payment
STATE
COUNTY 2%
1.
Name of Taxing County (If more than one county, see instructions on reverse side)
2.
Amount of Tax Paid
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
Corrected Tax
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
Amount of Refund Claimed
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
"
5.
Total State and County Tax (Interest if due, will be added by Department of Revenue)
. . . . . . .
COMPUTATION OF REFUND OF 2% COUNTY TAX
This Line For Office Use Only
"
COUNTY
COUNTY
COUNTY
COUNTY
6.
Names of Taxing Counties (If additional space is needed, use
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
another form)
7.
Amount of County Sales and Use Tax Paid
. . . . . . . . . . . . . . . . . . . .
8.
Corrected Tax
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
Amount of County Tax Refund Claimed
. . . . . . . . . . . . . . . . . . . .
"
TOTAL 2%
10. Add the total 2% county tax claimed for each county on line 9, including any
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
schedules, and enter the total amount here