Form E-500 - Sales And Use Tax Return - North Carolina Department Of Revenue
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1
2Sales and Use Tax Return
1-17. On Reverse
Receipts and Purchases
Rate
Tax
.
.
,
,
,
,
North Carolina Department of Revenue
x
18. 2% County Tax
2%
=
.
.
,
,
,
,
Filing Frequency:
19. 4% State Tax
x
4%
=
(6% Rate = 2% County + 4% State)
.
.
Payment By:
Check
EFT
,
,
,
,
x
3%
20. 3% State Tax
=
Period Ending
File By
.
.
,
,
,
,
x
2%
21. 2% State Tax
=
.
.
,
,
,
,
Account ID:
x
1%
=
22. 1% State Tax
.
If address is incorrect, complete Form NC-AC found in this booklet.
,
,
23. Excess Collections
.
,
,
24. Total Tax (Add Lines 18-23)
.
,
,
25. Penalty - State and County
.
,
,
26. Interest - State and County
.
,
,
Signature:
Date:
27. Less any Credit (Attach Explanation)
I certify that, to the best of my knowledge, this return is accurate and complete.
.
,
,
$
(
)
Title:
Phone:
28.
Total Due
(Lines 24-26 minus Line 27)
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0700
E-500
10 - 00
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