Form A-3730-Uez - Sales & Use Tax Claim For Refund - Urban Enterprise Zone Businesses - New Jersey Division Of Taxation Page 2

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A‐3730‐UEZ‐1 (Rev. 02/12) 
URBAN ENTERPRISE ZONES – SALES & USE TAX REFUNDS 
SPREADSHEET OF TRANSACTIONS SUBJECT TO REFUND 
TAXPAYER: 
:                              to 
PERIOD
 
ID #:
 
 
IP 
 
 
Taxable 
Amount of 
Amount of 
Tax 
 
Description of 
 
or 
 
Invoice 
Amount of 
Sales Tax 
Use Tax 
Rate 
Location of 
Property/Services 
Date 
TP 
Name of Vendor/Seller 
Number 
Invoice 
Claimed 
Claimed 
Paid 
Vendor/Seller
Purchased 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Refund Requested  
(Sales & Use Tax) 

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