In order to facilitate your withholding account transfer with North Carolina's Department of Revenue, we need you to complete the enclosed online form. The North Carolina Department of Revenue requires that this form be done online and signed by an Officer/Owner through their portal.
<aside> 📝 Here is the link to the form (make sure to click NC-AC Online Form on the following page): https://www.ncdor.gov/taxes-forms/sales-and-use-tax/sales-and-use-tax-forms-and-certificates/miscellaneous-forms/nc-ac-business-address-correction
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The address for the mailing address portion on the right-hand side should be 9450 SW Gemini Dr, PMB 73938, Beaverton, OR 97008. The left-hand side should be the physical address of your business. Below is an image of how the information should be entered on your screen.
Instructions for completing the form:
Taxpayer Type: Select FEIN
Taxpayer ID: Enter your EIN
Business Legal Name: Enter the full legal name of your company
- Make sure to include any punctuation and entity designations (i.e. Inc., LLC, Corporation, etc.)
Tax Type: Select Withholding
Effective Date of Change: Enter today's date
Address Line 1: Enter the first line of the physical address currently on file with the state
Address Line 2: Enter the second line of the physical address currently on file with the state
City: Enter the city of the physical address currently on file with the state
State: Enter the state of the physical address currently on file with the state
Zip Code: Enter the zip code of the physical address currently on file with the state
Mailing address same as physical address: Leave this unchecked
Mailing Address Line 1: Enter 9450 SW Gemini Dr
Mailing Address Line 2: Enter PMB 73938
Mailing Address City: Enter Beaverton
Mailing Address State: Select OR
Mailing Address Zip Code: Enter 97008
Email Address: Enter [businesslegalname]@agent.middesk.com
- e.g. if your business is called Amy's Donuts, you would type [email protected]
- Feel free to include or exclude any entity designations (i.e. Inc., LLC, Corporation, etc.) here
Confirm Email Address: Re-enter [businesslegalname]@agent.middesk.com
Phone Number: Enter your preferred contact number
Signature: Have your signatory draw their signature here
Name: Enter the name of your signatory
Title: Enter the title of your signatory