Form Wv/cst-Af2 - Affidavit For A Business Filing A Claim Of Refund For Consumers Sales And Service Tax Or Use Tax

ADVERTISEMENT

W
V
s
t
D
WV/CST-AF2
est
irginia
tate
ax
epartment
(Rev. 11/11)
AffidAvit for A Business filing A ClAim of refund for
Consumers sAles And serviCe tAx or use tAx
See requirements on reverse side
If tax was paid to a vendor on a purchase which is specifically exempt from the Consumers Sales
and Service or Use Tax, you must use Form CST-240 to apply for a refund or credit.
TAx id numbeR
nAme
STReeT AddReSS
CiTy, STATe, zip Code
Telephone numbeR
Refund
Credit
Check appropriate box:
STATe oF ____________________________.
CounTy oF __________________________.
i, __________________________________ , being duly sworn, depose and say that I am ____________________
(Name)
(Position or Title)
of the ___________________________________________ , of _____________________________________________
(Company)
(City, State, and Zip Code)
and that I am fully acquainted with the books and records of said company, and that I am duly authorized
to make this affidavit for the above named company. I further depose and say that the reason for the
overpayment is (describe in detail):
_____________________________________
__________________
(Signature)
(date)
Taken, subscribed and sworn before me this _________ day of _____________________, 20 _______.
My commission expires on _________________________________________________________________
(noTARy SeAl)
__________________________________________
(Notary Public)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go