Form E-588d - Incentive Claim For Refund For Analytical Services Supplies State And County Sales And Use Taxes

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Incentive Claim for Refund
E-588D
4
Web-Fill
for Analytical Services Supplies
7-11
State and County Sales and Use Taxes
PRINT
CLEAR
North Carolina Department of Revenue
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Legal Name (First 32 Characters)
Account ID
FEIN or SSN
Mailing Address
County
Period Beginning (MM-DD-YY)
City
State
Zip Code
Name of Person We Should Contact if We Have Questions About This Claim
Contact Telephone
Period Ending (MM-DD-YY)
Select the basis of refund by completing either Part 1 or 2 and Part 3.
Part 1 - Refund of Tax on Tangible Personal Property Consumed or Transformed in Analytical Service Activities
State
County
1.
Amount of Purchases of Tangible Personal Property
Consumed or Transformed in Analytical Service
Activities During Current Fiscal Year
2.
Amount of Sales and Use Tax Paid on Above Purchases
3.
Amount of Sales and Use Tax Paid on Purchases of
Tangible Personal Property Consumed or Transformed in
Analytical Service Activities from 7-1-06 through 6-30-07
4.
Eligible Amount of Sales and Use Tax Paid
(Subtract Line 3 from Line 2)
5.
Fifty Percent (50%) of Eligible Amount of Sales and Use
Tax Paid (Multiply Line 4 by .50)
Complete Lines 9 and 10 in Part 3.
Part 2 - Refund of Tax on Medical Reagents
State
County
6.
Amount of Medical Reagent Purchases
During Current Fiscal Year
7.
Amount of Sales and Use Tax Paid on Above
Medical Reagent Purchases
8.
Fifty Percent (50%) of Sales and Use Tax Paid
(Multiply Line 7 by .50)
Complete Lines 9 and 10 in Part 3.
Part 3 - Total Refund Requested and Signature
$
9.
Total Refund Requested (Add State and County tax from Lines 5 or 8)
10.
Allocation of County Tax on Lines 5 or 8 (Enter the county tax paid at each applicable rate.
If you paid more than one county’s tax, see instructions and attach Form E-536R)
County 2.0% Tax
County 2.25% Tax
Mecklenburg Transit 0.5% 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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