Sales For Resale Application For Refund -Form

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CITY OF UNALASKA
P.O. BOX 610
UNALASKA, ALASKA 99685
Phone: (907)581-1251
Fax: (907)581-1417
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SALES FOR RESALE
APPLICATION FOR REFUND
Name:
City Business License:
Address:
Year:
Qtr ending:
3/31 6 1 3 0
9/30
-
12/31
Date: Purchased From:
Sold To:
Ex~lanation:
Purchase
Tax
Amount
Amount
ATTACH ADDITIONAL PAGES IF NECESSARY
TOTAL REFUND REQUESTED:
Transactions listed are subject to audit by the City of Unalaska. The City of Unalaska reserves the right to
request additional supporting documentation for all transactions listed.
SIGNATURE
TITLE
DATE

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