Form St-14 - Claim For Refund For Sales Tax And Related Sales Taxes
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1
2STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
ST-14
CLAIM FOR REFUND For Sales Tax and Related Sales Taxes
(Rev. 11/15/13)
5017
Mail to: SC Department of Revenue, Sales Office Audit, Columbia, SC 29214-0109
(See Instructions and Taxpayer's Bill of Rights on reverse side.)
Sales Tax Refund Amount Requested
Taxpayer MUST complete this section
Section I: Taxpayer Identification
Type of Tax
Amount Requested (Required)
License or Registration No.
SSN or FEIN
SID#
Taxpayer Name
Attention To
Mailing Address
County
City
State
ZIP
Email Address
Period(s) Covered
Telephone: (Business)
(Home)
Section II: Reason for Refund
State all your reasons in a written claim for refund below. If additional space is needed, add additional sheets of explanation and attach
supporting documentation. Without proper supporting documentation, your claim for refund may be delayed and/or denied.
Taxpayer's Signature
Date
Corporation's Name (if applicable)
By
Title
Date
Signature
Print Name
Section III: Authorization to Discuss Refund
I authorize the Director of the Department of Revenue or delegate to discuss this return, attachments and related tax matters with the
preparer.
Yes
No
Preparer's name and phone number
For Office Use Only
Refund Amount Granted
Tax Type
Tax Amount
Interest
Refund Amount
ORDER FOR REFUND
In accordance with the provisions of Section 12-54-25 and 12-54-85 of Chapter 54 of Title 12; Section 12-60-470 of
Chapter 60 of Title 12 of the Code of Laws of South Carolina, 1976, as amended, a refund is hereby ordered for the
following reasons:
BY
TITLE
DATE ORDERED
APPROVED BY
TITLE
DATE
50171024
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