IA-336 Web Freight Car Line Companies 12-13 North Carolina Department of Revenue

Application Beginning Ending DOR Use Only for Period (MM-DD-YY) (MM-DD-YY)

Legal Name (First 35 Characters) (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)

Trade Name Federal Employer ID Number

Mailing Address

City State Zip Code

Fill in applicable circles: Name of Contact Person State of Domicile Amended Return Corporation is a first-time filer in N.C. Phone Number Fax Number Address has changes since prior year

Part 1. Computation of Gross Earnings Taxes In Lieu of Ad Valorem Taxes

1. Total Revenue from the Operation of Freight Cars Within North Carolina 1. (From Part 2, Page 2) , , .00

2. Tax Due 2. Multiply Line 1 by 3% , , .00

3. Penalty (10% for late payment; 5% per month, maximum 25%, for late filing) 3. Multiply Line 2 by rate above if return with full payment is not filed timely. , .00

4. Interest (See the Department’s website, www.dornc.com, for current interest rate.) 4. Multiply Line 2 by applicable rate if return with full payment is not filed timely. , .00

5. Total Due 5. Add Lines 2 through 4 $ , , .00

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

Signature of Preparer Preparer’s other than Taxpayer: FEIN, SSN, or PTIN:

This return is used to report gross earnings from the operation of freight cars within North Carolina by a person operating cars, furnishing cars, or leasing cars for the transportation of freight in North Carolina. Returns are due by the 30th day of April following the end of each calendar year. Your check or money order must be in the form of U.S. currency from a domestic bank.

North Carolina Department of Revenue, P.O. Box 25000, Raleigh, North Carolina 27640-0110 Page 2, IA-336, Web, 12-13 Legal Name FEIN Part 2. Total Number of Car Miles Made by All Cars on Each Railroad Within North Carolina

North Carolina Mileage North Carolina Revenue Reporting Railroad (Enter the actual mileage for all cars (Enter the calculated amount of revenue earned from the operation of operated in N.C. during the tax year) freight cars in N.C.)

Aberdeen and Rockfish Railroad Aberdeen, Carolina, and Western Railway Atlantic and Western Railway CSX Transportation Laurinburg and Southern Railroad Norfolk

Total Revenue (Add the amount of revenue reported here and enter in Part 1, Line1) , , .00

Part 3. Car Marks Reported (Enter the car marks assigned to each fleet of cars that operated in North Carolina during the current taxable year.)