Form R-1 - Conveyance Tax Return - North Carolina Department Of Revenue printable pdf download

Form R-1 - Conveyance Tax Return - North Carolina Department Of Revenue

R-1

Conveyance Tax Return

Web

North Carolina Department of Revenue

8-12

DOR Use Only

Return for Month Ended

(MM-DD-YY)

County (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)

Federal Employer ID Number

Mailing Address

NCDOR ID/Account Number

City

State

Zip Code

Name of County Finance Officer

Fill in applicable circles:

Amended Return

Phone Number

Fax Number

Address has changed since prior return

Computation of Conveyance Tax

Gross Amount of Tax Collected on Real Estate Conveyances

Monthly County Adjustments (Attach explanation)

Net Proceeds of Tax Collected

Line 1 minus Line 2

Tax Due Before County Cost Adjustment

Multiply Line 3 by 50%

County Cost of Collection and Administration

Multiply Line 4 by 2%

Tax Due

Line 4 minus Line 5

Previous Overpayment

(Attach Letter of Credit Issued by the Department to Claim a Prior Month’s Overpayment)

Total Payment Due

Line 6 minus Line 7

Signature of County

Finance Officer:

Date:

I certify that, to the best of my knowledge, this return is accurate and complete.

A county must use this form to remit the State’s net share of the proceeds collected by that county’s register of

deeds. Returns are due by the 15th day following the end of each month.

North Carolina Department of Revenue, PO Box 25000, Raleigh, North Carolina 27640-0110

Form R-1 - Conveyance Tax Return - North Carolina Department Of Revenue