Orange County NC Website
Browse       Search
DocuSign Envelope ID: FFB1ElC1-0882-4DBC-8266-7C20246FC236 <br /> E-589CI Affidavit of Capital Improvement <br /> Form E-589C1,Affidavit of Capital Improvement, is generally required to substantiate that a contract,or a portion <br /> of work to be performed to fulfill a contract,is to be taxed for sales and use tax purposes as a real property contract <br /> with respect to a capital improvement to real property. <br /> •This affidavit may not be used to purchase building materials,other tangible personal property,or digital <br /> property to fulfill a real property contract exempt from sales and use tax. <br /> •H person wno willfully attempts,or a person wno alas or aoets a person to attempt in any manner,to evade or <br /> defeat a tax imposed by the Sales and Use Tax Laws,or the payment thereof,shall be guilty of a Class H felony. If <br /> there is a deficiency or delinquency in payment of any tax due to fraud with intent to evade the tax,there shall be <br /> assessed a penalty equal to 50%of the total deficiency. <br /> Section I.Single Use(Complete this section to issue the affidavit for a single capital improvement.) <br /> Owner,Tenant,or Real Property Contractor Real Property Contractor(General Contractor or Subcontractor) <br /> A ORANGE COUNTY B SEEGARS FENCE COMPANY,INC.OF DURHAM <br /> Address Address <br /> 131 W.MARGARET LANE P.O.Box 61378 <br /> City ST ZIP City ST ZIP <br /> HILLSBOROUGH NC 27278 Durham NC 27715 <br /> Describe capital improvement to be performed: <br /> New Fence Installation <br /> Project Name <br /> PARKING DECK PROTECTIVE GRATE <br /> Project Address City ST ZIP <br /> SAME HILLSBOROUGH NC 27278 <br /> I certify that,to the best of my knowledge,this affidavit is accurate and complete and that the transaction described to be performed <br /> by the Real Property Contractor(General Contractor or Subcontractor identified in box"B")shall be treated as a real property contract <br /> with respect to a capital improvement to real property for sales and use tax purposes. <br /> Signature of Authorized Person: Title: Date: <br /> Section II. Blanket Use(Complete this section execute a blanket affidavit.) <br /> Real Property Contractor Real Property Contractor or Subcontractor) <br /> C D <br /> Address Address <br /> City ST ZIP City ST ZIP <br /> To be completed by the Real Property Contractor identified in Box C. <br /> I certify that I am a Real Property Contractor who performs capital improvements to real property and all transactions with the real <br /> property contractor(subcontractor)identified in box"D"shall be treated as real property contracts with respect to capital <br /> improvements for real property for sales and use tax purposes. <br /> Signature of Authorized Person: Title: Date: <br />