Address
AMOUNT OF THIS PAYMENT
An electric power company that is consistently liable for at least $100 00 or more per month in
calendar year
CD 310V
City State Zip Code
Click on Electronic Services
current month are due the 20th day of the following month
Do not fold tape or staple the return or check Do not send cash
DOR Use Only
e Pay
either: (1) the amount of tax due for the current month; (2) the amount of tax due for the same
Electric
Electric and Piped Natural Gas
Electric and Piped Natural GasMonthly Tax Remittance
Federal Employer ID Number
Fill in applicable circle:
franchise tax and all piped natural gas companies doing business in North Carolina must pay
gas company and is consistently liable for at least $20 000 00 a month in tax must prepay the
Legal Name (First 35 Characters) USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS
Mail this form with your check or money order in U S currency from a domestic bank to:
month in the preceding year; or (3) the average monthly amount of tax due in the preceding
Monthly Tax Remittance
N C Department of Revenue P O Box 25000 Raleigh N C 27640 0650 Web
NCDOR ID
next month s tax liability at the same time it pays the current month s liability Payments for the
North Carolina Department of Revenue
Pay online at www dornc com
Period Ended (MM YYYY)
Piped Natural Gas
Prepayments are required to be made by electronic means and must equal at least 65% of
Submit this form in its entirety Do not cut
tax on a monthly basis In addition a taxpayer who is an electric company or a piped natural
Use blue or black ink to complete the voucher
