Form Tc-98 - Application To Extend Time To File A Claim For Refund Page 2

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SECTION 5 - For Office Use Only
PRINT Name, title, and telephone number of Tax Commission Representative
Signature of Tax Commission representative
Date signed
Signature of Supervisor (if applicable)
Date signed
X
X
Length of extension granted
This extension is granted from ______/______/______ to expire on ______/______/______
OR _______________________________________________________________________
Instructions to Claim a Refund
This
application is NOT your Claim for Refund
- it is only an application to receive an extension of time to file a claim for refund. All refund claims
must be filed on or before the extension expiration date and include the information listed below and a copy of this approved application.
All claims for refunds must include the following information:
1. Requestor’ s name
2. Requestor’ s account number, social security number, or federal identification number
3. Tax paid
4. Dates of remittance to the Utah State Tax Commission
5. Basis for the refund request
If the claim for refund is Sales Tax related, you must also include the following information:
6. Vendor name
7. Vendor account number
8. Vendor location
9. Date of sale/purchase
10. Description of item(s) sold/purchased
11. Taxable amount
12. Basis for exemption from sales and use tax
13. Sales tax rate

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