Form St-12 - Sales Tax Claim For Refund
Download a blank fillable Form St-12 - Sales Tax Claim For Refund in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form St-12 - Sales Tax Claim For Refund with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2ST-12 (REV. 08/08)
SALES TAX CLAIM FOR REFUND
STATE OF GEORGIA
DEPARTMENT OF REVENUE
TAXPAYER SERVICES DIVISION
1800 Century Boul evard NE, Ste. 8214
Atlanta, Georgia 30345-3205
Telephone: (404) 417-6642
Fax: (404) 417-6629
Print
Clear
__________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Name of Taxpayer _____________________________________________________Title___________________________________
Trade Name of Business _______________________________________________________________________________________
Business Address _____________________________________________________________________________________________
City or Town _________________________ County _________________________ State _______________ Zip Code ___________
Permanent Address ___________________________________________________________________________________________
City or Town _________________________ County _________________________ State _______________ Zip Code ___________
Email Address _________________________________________________________Fax___________________________________
Sales Tax Certificate No. _________________________ STI Number _________________________ Soc. Sec. No. ______________
Tax Type: Sales [ ] Use [ ] Amount Paid $ _________________________ Amount Claimed as Refund $ _____________________
Period (s) of Claim ________________________________________________
Claimant verily believes that this claim should be allowed for the following reasons: (State in detail the factual and legal basis of
claim. Attach additional pages if necessary.)
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Under penalties of perjury I swear that I have examined this claim and that the facts given in the claim and in the supporting
documents are true and correct.
Signed this _____ day of _______________, 20 _____
__________________________________________________
SIGNATURE OF CLAIMANT OR CLAIMANT’S AUTHORIZED AGENT
__________________________________________________
Title
(If attorney in fact, attach power of attorney Form RD-1061)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial