Form Tcr - Idaho Sales Tax Refund Claim

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f
tCr
Idaho state tax Commission
o
r
sales tax refunD ClaIm
m
EFO00127
05-27-2009
Please read instructions on back
EC RC
Please don't write in this space.
I.
General InformatIon
1. Federal Employer Identification Number
1a. Social Security number
2. Permit number
3. Legal name
3a.
Doing business as (DBA name)
4. Mailing address
5. City
State
ZIP
6. Name of person to contact
Telephone number
( )
II.
DetaIls of refunD ClaIm
Check the box that best describes the reason for your refund request. Attach copies of invoices or documents supporting this claim.
A.
Bad debts
B.
Bookkeeping errors
C.
Motor vehicle
D.
Other
Description of refund Claimed
tax Paid
Total Refund Requested:
III.
refunD ClaIm
I request a sales tax refund for the reasons indicated above. If box C. or D. is checked, I have requested a refund of these taxes from
the seller and been denied. If the refund request is $100 or more, I have attached either a letter from the seller refusing to refund the
tax or other proof that shows I can't get a refund from the seller.
I certify that all statements I have made on this form are true and correct to the best of my knowledge. I understand that if I falsify this
form, I may be subject to criminal prosecution.
Authorized signature
Title
Date

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