Nonprofit and Governmental Entity Claim for Refund
E-585
State, County, and Transit Sales and Use Taxes
Web-Fill
6-13
North Carolina Department of Revenue
Complete all of the information in this section.
Legal Name (First 32 Characters) (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Account ID
Mailing Address
Federal Employer ID Number
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)
National Taxonomy of Exempt Entities Number
Nonprofit entity as defined in G.S. 105-164.14(b) (Semiannually)
Fill in the circle that
describes your
Governmental entity as defined in G.S. 105-164.14(c) (Annually)
(Nonprofit Entity Only)
organization.
1.
Name of Taxing County
(If more than one county, see instructions on reverse and attach Form E-536R.)
State
County & Transit
2.
Total Purchases of Tangible Personal Property for Use on
Which North Carolina State or County & Transit Sales or
Use Tax Has Been Paid Directly to Retailers (Do not include
tax paid, purchases for resale, or items described in Line 3.)
3.
Amount of Sales and Use Tax Paid Directly
to Retailers on Purchases for Use
(Do not include tax paid on any of the following:
- electricity, piped natural gas, or telecommunications
and ancillary services
- the purchase, lease, or rental of motor vehicles
- local occupancy or local prepared food and beverage taxes
- scrap tire disposal or white goods disposal taxes
- reimbursements for travel expenses
- alcoholic beverages)
4.
Amount of Sales and Use Tax Paid Indirectly
on Building Materials and Supplies as Shown
on Contractors’ Statements
5.
Amount of Use Tax Paid Directly to the Department of
Revenue by the entity (Do not include tax collected and
remitted on sales made by the entity.)
6.
Total Tax (Add Lines 3, 4, and 5. County & Transit tax
must be identified by rate on Line 8.)
$
7.
Total Refund Requested
(Add State and County & Transit tax on Line 6.)
8. Allocation of County & Transit Tax on Line 6 (Enter the county & transit tax paid at each applicable
rate. If you paid more than one county’s tax, see the instructions on Page 2 and attach Form E-536R.)
Food 2.00% Tax
County 2.00% Tax
County 2.25% Tax
Transit 0.50% Tax
Signature:
Date:
I certify that, to the best of my knowledge, this claim is accurate and complete.
Title:
Telephone:
For Departmental Use Only
State Tax
County Tax
Transit Tax
Total Tax
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By:
Date:
As Filed
As Corrected
Refund Approved:
MAIL TO: NC Department of Revenue, P.O. Box 25000, Raleigh, NC 27640-0001