Form E-588j - Claim For Refund Machinery, Equipment, And Fuel Tax
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E-588J
Claim for Refund
Web-Fill
Machinery, Equipment, and Fuel Tax
PRINT
CLEAR
12-05
North Carolina Department of Revenue
Legal Name (First 32 Characters)
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Account ID
Trade Name
FEIN or SSN
Street Address
City
State
Zip Code
County
Period Beginning (MM-DD-YY)
Name of Person We Should Contact if We Have Questions About This Claim
Contact Telephone
Period Ending (MM-DD-YY)
Location of Records (If Different from Above)
Date of Payment
Tax
1.
Amount of Tax Paid on Form E-500J
2.
Corrected Tax
$
3.
Amount of Refund Requested (Line 1 Minus Line 2)
Basis of Claim: (Explain in detail and attach documentation)
Signature:
Date:
I certify that, to the best of my knowledge, this claim is accurate and complete.
Telephone:
Title:
MAIL TO: NC Department of Revenue, P.O. Box 25000, Raleigh, NC 27640-0001
For Departmental Use Only
Refund Approved:
Tax
,
,
.
As Filed
As Corrected
By:
Date:
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Parent category: Financial