Form Pet 380 - Unlicensed Exporter Claim For Refund
Download a blank fillable Form Pet 380 - Unlicensed Exporter Claim For Refund in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Pet 380 - Unlicensed Exporter Claim For Refund with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4PET
380
TENNESSEE DEPARTMENT OF REVENUE
UNLICENSED EXPORTER CLAIM FOR REFUND
Name of Claimant __________________________________________
SSN/FEIN ____________________________________
Location Address __________________________________________
Account No. ___________________________________
City, State, ZIP _____________________________________________
Claim Period:
Beginning ______________________
Mailing Address ____________________________________________
Ending ________________________
City, State, ZIP _____________________________________________
Date of Claim _________________________________
EXPORT GALLONS
OATH OF TAXPAYER
Under penalties of perjury, I declare that I have examined this claim, and to the best of my knowledge and belief, it is true, correct,
and complete.
Name __________________________________________
Title ___________________________________________
(Signature of Taxpayer, Officer, or Authorized Representative)
FOR OFFICE USE ONLY
CHECKED BY
DATE
APPROVED
REASON FOR REDUCTION
REFUND NO.
REDUCED
PROCESS COMPLETION DATE
INCREASED
APPROVAL
Approved Amount $ ______________
__________________________________________
________________________________________
_____________
Director or Designate
Commissioner of Revenue or Designate
Date
INTERNET (4-03)
RV-R0010001
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial