(Do not send this form with your return )
3 Fill in each circle for accounts that are seasonal or closed:
Account iD
Account Information
Address
All Business Accounts Franchise and Corporate Income Partnership Sales and Use Withholding
City State Zip Code
if a seasonal business has temporarily closed fill in circle(s) for months business is open:
if permanently closed enter the date closed
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Legal Name
Mail to: North Carolina Department of Revenue Documents and Payments Processing Division
NC BN Out of Business Notification
North Carolina Department of Revenue
OffOffOffOffOffOffOffOffOffOffOffOff
Other
P O Box 25000 Raleigh North Carolina 27640 0001
SSN or FEiN
Web Fill
You must file returns for the months the business is open
