Claim For Refund Form - City Of Pueblo Page 2

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INSTRUCTIONS
1. The claim must set forth in detail each ground upon which it is made, and facts sufficient to inform the Department of
Finance of the exact basis thereof.
2. The claim should be signed by the taxpayer, if possible. Whenever it is necessary to have the claim executed by an
attorney or agent, on behalf of the taxpayer, an authenticated copy of the document specifically authorizing such an
agent, or attorney to sign the claim on behalf of the taxpayer should accompany the claim.
3. Where the taxpayer is a corporation, the claim shall be signed with the corporate name, followed by the signature and
title of the officer having authority to sign for the corporation.
4. Any false statement made by applicant for Sales Tax refund is punishable on conviction by maximum fine of $300.00 or
jail sentence of ninety days or both.
5. Sufficient documentation must be included with the request for refund or it will delay the processing of your claim or
cause denial of your claim.

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