Form St11-Aud - Claim For Tax Paid On Periods Audited For Sales And Use Taxes
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1ST11-AUD
Claim for Tax Paid on Periods Audited for Sales and Use Taxes
Use this form to file a claim for refund of Minnesota sales, use and/or local taxes assessed on a sales and use tax audit
that has been paid in full. The refund claim must be filed within 3½ years from the date the tax was due or one year from
the date of an order assessing tax, whichever is later.
You must attach Form DOR51, Consent to Change Sales and Use Tax, or Form ST300, Notice of Change in Sales and Use Tax,
including Form ST310C, Explanation of Adjustments, and all audit schedules and exhibits.
Step 1. Identify your business
Business name
Minnesota tax ID number
Mailing address
Audit period
From
Through
City
State
Zip code
Main business address in Minnesota (if different from above)
City
State
Zip code
Name of person to contact about this claim
Title
Phone
E-mail
Refund amount you are claiming:
Minnesota state sales tax of $
plus local taxes of $
. Total refund claimed: $
Date audit was paid
Was the audit assessment paid in full?
Yes
No
Step 2. Reason you are making this claim.
Check the appropriate box below to indicate the reason you are filing this claim. You must provide documentation that was not
present at the time of the audit to support your claim. We may request additional documentation to process this claim. If you
fail to provide complete documentation, your claim may be denied.
Sales
The sales were not taxable. Provide fully completed exemption certificate(s) received from the purchaser.
The sales were taxable. However, use tax was self-assessed and paid directly to the department by the purchaser. Provide a
signed statement from the purchaser with purchase dates, amounts, tax periods in which the tax was paid and the purchaser’s
Minnesota tax ID number.
The sales were taxable. However, the purchaser was assessed use tax during an audit. Provide a signed statement from the
purchaser with the purchaser’s Minnesota tax ID number and the period covered by audit.
Other:
Explain:
Purchases
Purchase invoices showing that sales tax was paid were discovered after the time of the audit. Provide copies of invoices
arranged in date order.
Other:
Explain:
I (We) declare under the penalties of criminal liability for willfully making a false claim that this claim has been exam-
ined, and, to the best of my (our) knowledge and belief, is true and complete. (A claim filed by a corporation must bear
the original signature and title of the officer having the authority to sign for the corporation.)
Signature of taxpayer or authorized representative
Title
Date
Phone
Check here if Form REV184, Power of Attorney, is attached.
Attach all required documentation and mail to:
Claims Unit, Minnesota Revenue, 525 Lake Avenue South, Suite 405, Duluth, MN 55802
Or email this claim and documentation to: salesuse.claim@state.mn.us
(10/13)
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