Form St-L-137r - Application For A Sales Tax Refund printable pdf download

Form St-L-137r - Application For A Sales Tax Refund

MAINE REVENUE SERVICES

SALES/EXCISE TAX DIVISION

APPLICATION FOR A SALES TAX REFUND ON THE PURCHASE OF DEPRECIABLE

MACHINERY, EQUIPMENT OR REPAIR PARTS FOR USE IN COMMERCIAL AGRICULTURAL

PRODUCTION, COMMERCIAL FISHING OR AQUACULTURAL PRODUCTION

IN ADDITION TO THIS APPLICATION, YOU MUST SUBMIT COPIES OF RECEIPTS PROVING THAT

SALES TAX WAS PAID BY THE ENTITY NAMED ON THE EXEMPTION CERTIFCATE.

CURRENT EXEMPTION NUMBER __________________________________ (if applicable)

1. Federal Identification Number or Social Security Number_________________________________________________________________________

2. Name of Corporation or Name of Individual_______________________________________________________________Phone #_______________

3. Mailing Address___________________________________City_______________________State_______________Zip Code___________________

4. Amount of tax paid that is subject to refund_____________________5. Date of purchase________________________________________________

Description of equipment ___________________________________7. Please breifly explain the primary use of this equipment and give the

percentage of use performing this function.________________________________________________________________________________________

___________________________________________________________________________________________________________________________

8. Is this equipment 100% depreciable for IRS purposes?____________________9. If not 100% depreciable, please give percentage_________________

NOTES:

Please allow 4-6 weeks for the processing refund applications.

All applications that are not complete, or that are not accompanied by the

appropriate copies of receipts, will be returned to the applicant.

If you have any questions regarding eligibility requirements, restrictions, and issuance of refunds, please refer to Instructional Bulletins 44, 45,

and 49. These bulletins are available on our web site at JANUS.STATE.ME.US/REVENUE

I certify under pains and penalty of perjury that the statements make in this application and any supplements attached thereto are true,

accurate, and complete to the best of my knowledge and belief.

_________________________________________________

_____________________________

__________________________________

Signature of owner or Corporate Officer

Title

Date Signed

(See Page 2 for Additional Information)

Form St-L-137r - Application For A Sales Tax Refund