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Get NC DoR B-C-775 2019

ERS FOR YOUR NAME AND ADDRESS) NCDOR ID/Account Number Trade Name Mailing Address City State Name of Contact Person Phone Number ABC Permit Number Zip Code State of Domicile Fill in circle if applicable: Amended Return No Transactions Fax Number Computation of Tax on Spirituous Liquor/Antique Spirituous Liquor Sales and Mixed Beverages Surcharge 1. Total Retail Sales of Spirituous Liquor/Antique Spirituous Liquor 2. a. 1 or 5 bottle charge (ABC Boards only) 2a. b. Addition.

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