Form E-554 - Consumer Use Tax Return December 2009
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1Consumer Use Tax Return
E-554
Web
North Carolina Department of Revenue
12-09
Name (First 13 Characters)
M.I.
Last Name (First 16 Characters)
SSN
Spouse’s First Name (First 13 Characters)
M.I.
Spouse’s Last Name (First 16 Characters)
Spouse’s SSN
Street Address
Period Beginning (MM-DD-YY)
City
State
Zip Code
Period Ending (MM-DD-YY)
County
Phone
(
)
Purchases
Rate
Tax
,
,
.
.
1.
5.75% General State Rate
x
=
5.75%
(Effective 10/1/09)
,
,
.
.
2.
5.5% General State Rate
x
=
5.5%
(9/1/09 through 9/30/09)
,
,
.
.
3.
4.5% General State Rate
x
=
4.5%
(1/1/09 through 8/31/09)
,
,
.
.
x
4. 2% Food Rate
=
2%
,
,
.
.
5.
2.0% County Rate
x
=
2.0%
(Effective 10/1/09)
,
.
,
.
6.
2.25% County Rate
x
=
2.25%
(See instructions on reverse)
,
,
.
.
7.
2.5% County Rate
x
=
2.5%
(1/1/09 through 9/30/09)
,
.
,
.
8. 0.5% Transit County Rate
x
=
0.5%
,
.
9.
Total Tax (Add Lines 1-8)
,
.
10. Credit for Sales or Use Tax Paid to Another State
,
.
11.
Tax Due (Line 9 Minus Line 10)
,
.
12. Penalty
,
.
13. Interest
,
.
$
14. Total Due (Add Lines 11-13)
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
Title:
Phone:
MAIL TO: P.O. Box 25000, Raleigh, NC 27640-0720
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