Form 51a292 - Expenditure Report For Signature Project Refunds - Kentucky Department Of Revenue
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1EXPENDITURE REPORT FOR SIGNATURE PROJECT REFUNDS
51A292 (10-07)
Commonwealth of Kentucky
1. Include only one Contractor/Sub-contractor (Purchaser) per page.
DEPARTMENT OF REVENUE
2. Please total costs by vendor.
3. Provide copy of 1 invoice from each vendor as sample.
Signature Project
Name of Refund Applicant:
Contractor/Sub-Contractor Name:
Contractor/Sub-Contractor SU Tax Account # (if applicable):
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% of Property Cost
Vendor Name
Invoice #
Date of
Period Tax
General description of building materials or
Total Cost
not part of approved
KY SU Tax
Total by Vendor
Invoice
Reported
fixtures purchased
infrastructure or other
Paid
approved project costs
(Consult applicant)
An Equal Opportunity Employer M/F/D
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Parent category: Financial