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Get Gas-1206 - NC Department Of Revenue

Circles: Address has changed since prior refund claim Trade Name First refund claim Amended refund claim Final refund claim for closed business County Street Address FEIN or SSN - (No dashes) Mailing Address City State Name of Contact Person Phone Number ( ) Zip Code (First 5 digits) Return for Month of - Fax Number ( OFFICE USE ONLY ) (Month) (Year) IMPORTANT: Use a separate Gas-1206 for each type of exempt entity for which a refund is requested. You must complete all app.

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