Application For Refund North Dakota Sales Tax

ADVERTISEMENT

Questions on this form should be directed to the North Dakota Offi ce of State Tax Commissioner at
Taxpayer Assistance:
701-328-3470. Applications for Refund of North Dakota Sales Tax are available on our web site at
MAIL TO: North Dakota Offi ce of
Application For Refund
State Tax Commissioner
Sales and Withholding Taxes
North Dakota Sales Tax
600 E. Boulevard Ave., Dept. 127
(See Instructions On Other Side)
Bismarck, ND 58505-0599
____________________________
Please print or type
Date:
(
)
__________________________________________________
____________________________
Name:
Telephone:
Area
_________________________________________________
Address:
Street
Province
Postal
City
Code
Purchase Information
Note: One receipt per line. Attach additional sheets if necessary. Each receipt must include $25.00 or more in taxable merchandise
(excluding tax). Goods consumed in North Dakota, including motel rooms, restaurant meals, etc. are not eligible for refund.
Purchase
Item Description
Purchased From
Taxable Value
City & State
Date
Tax Paid
1-1-05
Refrigerator
$750.00
$50.63
Smith Appliance
Grand Forks
$
Refund Request Must Equal or Exceed $15.00.
Total Refund
NOTE - Original sales receipts must be attached before refund can be processed - no photocopies please!
Original receipts will not be returned with refund checks. Please keep copies for your records.
Do not highlight receipts as it makes it impossible to read the numbers on some types of paper.
Certifi cation
I hereby certify that, to the best of my knowledge, the facts herein stated are true and correct and that the above
merchandise has been removed for permanent use outside of North Dakota. I also understand this claim for refund is
subject to audit verifi cation.
_____________________________________
Signature
OFFICE USE ONLY
Amount
Amount
ND
Completed by
Date
TOTAL:

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

Application For Refund - North Dakota Sales Tax Application For Refund - North Dakota Sales Tax Financial
Form 13-9-b - Application For Refund Of State Sales Tax Form 13-9-b - Application For Refund Of State Sales Tax Business
Form 13-9-a - Application For Refund Of State Sales Tax - 2012 Form 13-9-a - Application For Refund Of State Sales Tax - 2012 Financial
Form Ft-1007 - Application For Refund Of Prepaid Sales Tax On Highway Diesel Motor Fuel Sold At Retail Service Stations Form Ft-1007 - Application For Refund Of Prepaid Sales Tax On Highway Diesel Motor Fuel Sold At Retail Service Stations Financial
Form Ft-949 - Application For Refund Of Prepaid Sales Tax On Motor Fuel Sold Other Than At Retail Service Stations Form Ft-949 - Application For Refund Of Prepaid Sales Tax On Motor Fuel Sold Other Than At Retail Service Stations Financial
Form Ft-950 - Application For Refund Of Prepaid Sales Tax On Motor Fuel Sold At Retail Service Stations Form Ft-950 - Application For Refund Of Prepaid Sales Tax On Motor Fuel Sold At Retail Service Stations Financial
Form 13-9-a - Application For Refund Of State Sales Tax Form 13-9-a - Application For Refund Of State Sales Tax Financial
Application For Insurance - North Dakota Workforce Safety And Insurance Application For Insurance - North Dakota Workforce Safety And Insurance Legal
Application For Refund Form - Amherst Income Tax Department Application For Refund Form - Amherst Income Tax Department Financial
Application For Refund From Local Services Tax Form - City Of Lock Haven Application For Refund From Local Services Tax Form - City Of Lock Haven Financial

Related Categories

Parent category: Financial
Download
Go