Form 4612 - Request For Refund Of Use Tax Paid On Services - 2007

Download a blank fillable Form 4612 - Request For Refund Of Use Tax Paid On Services - 2007 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 4612 - Request For Refund Of Use Tax Paid On Services - 2007 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

Reset Form
Michigan Department of Treasury
4612 (12-07)
Request for Refund of Use Tax Paid on Services
Issued under authority of Public Act 148 of 2007.
Instructions: Use this form only to request a refund from the Michigan Department of Treasury for use tax paid on services.
Do not use this form if you received or requested a refund from the service provider. A copy of the receipt itemizing the
service charge and tax collected must accompany this request. Complete all fi elds on this form.
PART 1: Taxpayer Identifi cation
First Name
M.I.
Last Name
Social Security Number
Home Address (No., Street, P.O. Box or Rural Route)
City or Town
State
ZIP Code
PART 2: Service Provider Information
Name of Service Provider
Address (No., Street, P.O. Box or Rural Route)
City or Town
State
ZIP Code
PART 3: Service Details
Date of Service
Type of Service
Cost of Service
Use Tax Paid
Copy of Receipt Attached
Yes. Copy of receipt is required.
No. This refund request will not be processed.
Have you requested or received a refund from the Service Provider for use tax paid?
Yes. This refund request will not be processed.
No
PART 4: Certifi cation
I declare under penalty of perjury that the information in this return and attachments is true and complete to the best of my knowledge.
Signature
Date
For additional information, visit You may also contact a Customer Service Representative at
(517) 636-4730.
Mail a signed refund request with an attached copy of your receipt to:
Sales, Use and Withholding Taxes
Michigan Department of Treasury
P. O. Box 30781
Lansing, Michigan 48909

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 72a066 - Application For Refund Of Kentucky Tax Paid On Gasoline Used In Operation Of Aircraft (krs 138.341 To 138.342) Form 72a066 - Application For Refund Of Kentucky Tax Paid On Gasoline Used In Operation Of Aircraft (krs 138.341 To 138.342) Financial
Form Cert-106 - Claim For Refund Of Use Tax Paid On A Motor Vehicle Purchased From Other Than A Motor Vehicle Dealer Form Cert-106 - Claim For Refund Of Use Tax Paid On A Motor Vehicle Purchased From Other Than A Motor Vehicle Dealer Financial
Form Rv-f-1303501 - Application For Refund Of Sales Tax Paid On The Purchase Of All-terrain Vehicles Used As Farm Equipment - Tennessee Department Of Revenue Form Rv-f-1303501 - Application For Refund Of Sales Tax Paid On The Purchase Of All-terrain Vehicles Used As Farm Equipment - Tennessee Department Of Revenue Financial
Form Ft-500 - Application For Refund Of Sales Tax Paid On Petroleum Products - Nys Department Of Taxation And Finance Form Ft-500 - Application For Refund Of Sales Tax Paid On Petroleum Products - Nys Department Of Taxation And Finance Financial
Form Ft-500 - Application For Refund Of Sales Tax Paid On Petroleum Products Form Ft-500 - Application For Refund Of Sales Tax Paid On Petroleum Products Financial
Certificate For Refund Of Sales Tax Paid On Exempt Qualifying Purchases Of Meals Or Lodging By An Exempt Organization Or Qualifying Governmental Agency (cert-122) Certificate For Refund Of Sales Tax Paid On Exempt Qualifying Purchases Of Meals Or Lodging By An Exempt Organization Or Qualifying Governmental Agency (cert-122) Financial
Form Wv-cst-240 - West Virginia State Tax Department Claim For Refund Or Credit For Sales Or Use Tax Paid On Exempt Purchases Form Wv-cst-240 - West Virginia State Tax Department Claim For Refund Or Credit For Sales Or Use Tax Paid On Exempt Purchases Financial
Form Wv/cst-240 - West Virginia State Tax Department Claim For Refund Or Credit For Sales Or Use Tax Paid On Exempt Purchases Form Wv/cst-240 - West Virginia State Tax Department Claim For Refund Or Credit For Sales Or Use Tax Paid On Exempt Purchases Financial
Form Wv/cst-240 - Claim For Refund Or Credit For Sales Or Use Tax Paid On Exempt Purchases Form Wv/cst-240 - Claim For Refund Or Credit For Sales Or Use Tax Paid On Exempt Purchases Financial
Form L-2087 - Application For Refund Of User Fee Paid On Motor Fuel (diesel, Gasoline, Lp) Used In Trucking Equipment Form L-2087 - Application For Refund Of User Fee Paid On Motor Fuel (diesel, Gasoline, Lp) Used In Trucking Equipment Financial

Related Categories

Parent category: Financial
Download
Go