Form Wv/cst-Af2 - Affidavit For A Business Filing A Claim Of Refund For Consumers Sales And Service Tax Or Use Tax - 1998

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WV/CST-AF2
(Rev. 2/98)
West Virginia
Department of Tax and Revenue
AFFIDAVIT FOR A BUSINESS FILING A CLAIM OF REFUND FOR
AFFIDAVIT
FOR A BUSINESS FILING A CLAIM OF REFUND FOR
CONSUMERS SALES AND SERVICE TAX OR USE TAX
See requirements on reverse side
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
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 WV/CST-240 to apply for a refund or credit .
Tax, you must use form WV/CST-240 to apply for a refund or credit .
TAX ID NUMBER
NAME
STREET ADDRESS
CITY, STATE, ZIP CODE
TELEPHONE NUMBER
Check appropriate box:
Refund
Credit
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 _______________________________, 19 _____________.
My commission expires on ___________________________________________________________________________.
(NOTARY SEAL)
(Notary Public)

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