Form R-1362d - Natural Disaster Claim For Refund Schedule Of Tangible Personal Property Destroyed By A Natural Disaster

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R-1362D(9/08)
Natural Disaster Claim for Refund
Schedule of Tangible Personal
Property Destroyed by a Natural Disaster
Must be attached to Natural Disaster Claim for Refund
of State Sales Taxes Paid – Form R-1362
Claimant’s Name
Social Security Number
Spouse’s Name
Spouse’s Social Security Number
The following are examples of tangible personal property that would be eligible for the state sales tax refund:
1.
Furniture, Rugs, Utensils, etc.
2.
TV, Camera, Toys, Exercise Equipment, etc.
3.
Clothing, Linens, etc.
4.
Other Household Items (Books, Decorations, Lawn Mowers, etc.)
The following items are not eligible for state sales tax refunds:
1.
Food
2.
Real immovable property, such as houses, buildings, central heating and cooling systems, lighting fixtures, lavatories,
dishwashers, water heaters, hot tubs and spas, and wall-to-wall carpeting.
3.
Titled assets such as automobiles or all terrain vehicles
.
(ATV)
4.
Boats, water or snow skis, golfing or tennis equipment or other recreation equipment generally used away from the home.
To support your claim, attach a copy of the declaration page of your homeowner’s or renter’s insurance policy and a copy of the insur-
ance adjuster’s report that documents the damage and claim reimbursement amounts. If you did not have insurance, attach all available
purchase receipts for the destroyed items and any documentation of reimbursement from FEMA or other disaster relief sources.
4%
Original Cost
Date of Purchase
Description of Property Destroyed
State Sales
(mm/dd/yyyy)
of Property
Tax Paid
Total Property Cost and State Sales Tax Paid
If more space is needed, additional copies of this form may be used.

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