Bank Privilege Tax Return
B-206
Web
North Carolina Department of Revenue
12-11
DOR Use Only
Return for Calendar Year
(YYYY)
Legal Name (First 35 Characters)
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Federal Employer ID Number
Trade Name
NCDOR ID/Account Number
Mailing Address
City
State
Zip Code
Bank has been in operation for:
Full calendar year
Name of Contact Person
Less than a calendar year
Fill in circle if applicable:
Phone Number
Fax Number
Amended Return
Computation of Tax
(Whole Dollars Only)
March 31
June 30
September 30
December 31
1.
Total assets
.
.
.
.
(From Quarterly Call
00
00
00
00
Report of Condition)
2.
International
.
.
.
.
banking facility
00
00
00
00
assets
.
.
.
.
3. Out-of-state
00
00
00
00
assets
4.
Net assets
.
.
.
.
Line 1 minus
00
00
00
00
Lines 2 and 3
,
,
.
5.
Total net assets (Add quarterly net assets from Line 4)
5.
00
.
6
Average net assets for full-year operation
,
,
.
If full calendar year, divide Line 5 by 4 and round up to nearest million.
6.
00
If less than a calendar year, skip Line 6 and complete Lines 7a through 7c.
7.
Average net assets for less than full-year operation
,
,
.
a. Divide Line 5 by the number of quarters reported on Line 4
7a.
00
,
,
.
7b.
b. Multiply Line 7a by the number of days in operation
00
,
,
.
7c.
c. Divide Line 7b by 365 and round up to the nearest million
00
,
,
8.
Tax due
.
8.
00
Multiply Line 6 or Line 7c by .00003; tax rate is $30 per $1,000,000.
,
,
Penalty (10% for late payment; 5% per month, maximum 25%, for late filing)
.
9.
9.
00
Multiply Line 8 by rate above if return with full payment is not filed timely.
,
,
10.
Interest (See the Department’s website, , for current interest rate.)
.
10.
Multiply Line 8 by applicable rate if return with full payment is not filed timely.
00
,
,
.
11.
Total Payment Due
11.
00
Add Lines 8 through 10
Signature:
Title:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
Returns are due by July 1st annually. Your check or money order must be in the form of U.S. currency from a domestic bank.
North Carolina Department of Revenue, PO Box 25000, Raleigh, North Carolina 27640-0110