Form E-585s - Incentive Claim For Refund State And County Sales And Use Taxes

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4
Incentive Claim for Refund
E-585S
State and County Sales and Use Taxes
Web-Fill
PRINT
CLEAR
6-06
North Carolina Department of Revenue
Account ID
and ending
For the period beginning
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Legal Name (First 32 Characters)
Fill in applicable circle:
SSN
FEIN
Mailing Address
City
State
County
Zip Code
NAICS Code
Name of Person We Should Contact if We Have Questions About This Claim
Contact Telephone
Select
Major Recycling Facility Refund - G.S. 105-164.14(g)
Refund
Low Enterprise Tier Machinery Refund - G.S. 105-164.14(h) Select type of business and tier area.
Type:
Air courier services
Central office or aircraft facility with 40 new jobs
Manufacturing
Computer services
Data processing
Warehousing
Customer service center
Electronic mail order house with 250 new jobs
Wholesale trade
Refunds are only allowed for taxpayers in enterprise tier areas one or two.
Select tier area for each period: 7/1 - 12/31:
1/1 - 6/30:
One
Two
Other
One
Two
Other
Nonprofit Insurance Company Refund - G.S. 105-164.14(i)
Industrial Facility Refund - G.S. 105-164.14(j) Select type of business and tier area.
Air courier services
Computer manufacturing
Semiconductor manufacturing
Aircraft manufacturing
Motor vehicle manufacturing
Bioprocessing
Pharmaceutical and medicine manufacturing and distribution
Select tier area:
One
Two
Three
Other
1. Name of Taxing County
(If more than one county, see instructions on reverse and attach Form E-536)
State
County
2.
Total Refundable Purchases of Tangible Personal
Property for Use on Which North Carolina Sales
or Use Tax Has Been Paid Directly to Retailers
3.
Amount of Sales and Use Tax Paid Directly to
Retailers on Purchases for Use
4.
Amount of Sales and Use Tax Paid Indirectly
on Qualifying Purchases as Shown on
Contractors’ Statements
5.
Amount of Use Tax Paid Directly to the
Department of Revenue by Your Business
6.
Total Tax (Add Lines 3, 4, and 5. County tax
must be identified by rate on Line 8)
$
7.
Total Refund Requested (Add State and County tax on Line 6)
8.
Allocation of County Tax on Line 6 (Enter the county tax paid at each applicable rate. If you paid more than one county’s tax, see
the instructions on reverse and attach Form E-536)
County 2.5% Tax
Additional County 1% Tax
Mecklenburg Transit .5% Tax
Signature:
Date:
I certify that, to the best of my knowledge, this claim is accurate and complete.
Title:
Telephone:
MAIL TO: NC Department of Revenue, Central Examination Section, P.O. Box 25000, Raleigh, NC 27640-0001

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