E-585E                                 State Agency Claim for Refund 
Web
6-13                                   County and Transit Sales and Use Taxes
                                       North Carolina Department of Revenue

                                       Complete all of the information in this section.
State Agency Name (First 32 Characters) (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)                          Account ID

Mailing Address                                                                                                  Federal Employer  ID Number

Interoffice or Courier Mailing Address                                                                           Quarter Beginning (MM-DD-YY)

City                                   State      Zip Code               County                                  Quarter Ending (MM-DD-YY)

Name of Person We Should Contact if We Have Questions About This Claim   Contact Telephone
                                                                         (         )

1. Name of Taxing County 
   (If more than one county, see instructions on reverse and attach Form E-536R.)

                                                                                                                 County & Transit Tax

2. Amount of County & Transit Sales and Use Tax Paid Indirectly on Building 
   Materials and Supplies as Shown on Contractors’ Statements                                                    ,                 ,         .

3. Allocation of County & Transit Tax on Line 2 (Enter the county and transit tax paid at each applicable rate. If you paid more than one 
   county’s tax, see the instructions on reverse and attach Form E-536R.)

           County 2.00% Tax                       County 2.25% Tax                              Transit 0.50% Tax

        ,         ,      .                      , ,                    .                        ,    .

Signature:                                                                                 Date:
        I certify that, to the best of my knowledge, this claim is accurate and complete.

Title:                                                                                     Telephone:
MAIL TO: NC Department of Revenue, P.O. Box 25000, Raleigh, NC 27640-0001

                                                  For Departmental Use Only

       Refund Approved:                                                County Tax                                Transit Tax 
        As Filed         As Corrected
                                                  ,                    ,                 .           ,           ,                 .

   By:                                                                                     Date:

Page 2
E-585E
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6-13                                        General Instructions

Use blue or black ink to complete this form.
An Account ID is required to process the claim.
This form is to be filed by State Agencies pursuant to G.S. 105-164.14(e).  Claims for refund for a quarterly period must 
be filed within 15 days after the end of each calendar quarter.
Records must be maintained on a county by county basis to identify local sales and use taxes paid indirectly by the State 
agency on building materials, supplies, fixtures, and equipment that become a part of or annexed to a building or structure 
that is owned or leased by the State agency and is being erected, altered, or repaired for use by the State agency.
Visit the Department’s website, http://www.dornc.com/taxes/sales/taxrates.html, to determine the rate in effect for the 
period of the refund.  Effective dates for county & transit rates are also shown at the bottom of Form E-536R, Schedule 
of County Sales and Use Taxes for Refund, also available on the Department’s website.

                                            Line by Line Instructions

Line 1 - If county and transit taxes included on this form were paid for only one county, enter the name of that county. If county 
      and transit taxes were paid for more than one county, do not enter a county name on Line 1. 

Line 2 - Enter total county and transit sales and use tax paid indirectly on building materials and supplies as shown on 
      contractors’ statements. This is the total amount of the refund requested for the period.

Line 3 - Allocate the amount of county and transit taxes included on Line 2 to the applicable county or transit tax rate. If 
      county tax was paid for more than one county, complete Form E-536R, Schedule of County Sales and Use Taxes 
      for Claims for Refund, to identify the applicable rates and individual counties to which tax was paid for the period.  
      The total of all entries on Form E-536R should equal the county and transit tax shown on Line 2.

If you have questions about how to complete this form, call the Taxpayer Assistance and Collection Center toll-free 
at telephone number 1-877-252-3052.