.
,
,
Machinery, Equipment, and Fuel Tax Return
1.
Portion of Machinery Purchases
Exceeding $8000 Maximum Per Article
North Carolina Department of Revenue
Purchases
Rate
Tax
.
.
,
,
,
2.
Mill Machinery and
Period Beginning (MM-DD-YY)
Period Ending (MM-DD-YY)
x
1%
=
Equipment
.
.
,
,
,
3.
Fuel for Manufacturing
x
___%
=
(.7% eff. 10/1/07, .5% eff. 7/1/08)
Account ID
.
,
4.
Total Tax
(Add Lines 2 and 3)
.
,
5.
Penalty
Legal Name (First 20 Characters)
(USE CAPITAL LETTERS)
.
,
6.
Interest
Street Address
.
,
7.
Less Prepayment for This Period
.
City
State
Zip Code (5 Digit)
,
8.
Prepayment for Next Period
.
,
$
9.
Total Due
(Add Lines 4-6 & 8, Minus Line 7)
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 27640-0700
E-500J
10-07