Form E-554 - Consumer Use Tax Return - North Carolina Department Of Revenue

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Consumer Use Tax Return
Purchases
Rate
Tax
,
North Carolina Department of Revenue
.
,
.
1.
4.5% State Rate
x
4.5%
=
,
.
,
.
x
2%
2.
2% Food Rate
=
Period Beginning (MM-DD-YY)
Period Ending (MM-DD-YY)
,
,
.
.
3.
2.5% County Rate
x
2.5%
=
SSN
Spouse’s SSN
4.
.5% Mecklenburg
,
.
,
.
x
.5%
=
Transit Rate
,
.
5.
Total Tax (Add Lines 1-4)
Name (First 12 Characters )
M.I.
Last Name (First 14 Characters)
.
6.
Credit for Sales or Use Tax
,
Paid to Another State
Spouse’s First Name (First 12 Characters)
M.I.
Spouse’s Last Name (First 14 Characters)
,
.
7.
Tax Due (Line 5 Minus Line 6)
Street Address
,
.
8.
Penalty
,
.
City
State
Zip Code
9.
Interest
,
.
$
10.
Total Due (Add Lines 7-9)
County
Phone
(
)
E-554
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
12-03
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0720

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