Form St11 - Sales And Use Tax Refund Request And Multiple Period Amended Return Page 6

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Utilities Refund
If you are a utility service provider, you can use the Multiple Period Amended Sales and Use Tax Return to claim refunds of Minnesota and
local taxes paid for customers who claim tax exemption after they pay. You must provide a separate worksheet for a utilities refund.
You must return sales tax collected in error to your customer within 60 days of receiving the refund.
Sample Worksheet for Utilities Refund
The examples are for reference only. Add a column for each local tax.
Month tax was
Period
Specify
Change in taxable amount
Minnesota Tax
Hennepin County tax
Transit Improvement Tax
Minneapolis Tax
invoiced
amended
sales or use
tax
7/15
8/15
sales
—$3636.00
—$250 .00
—$5 .45
—$9.09
9/15
9/15
sales
—$6240.00
—$429.00
—$9.36
—$15.60
10/15
10/15
sales
—$1004.00
—$69.00
—$10.04
REFUND
—$742.00
—$14.81
—$24.69
—$10.04
TAX DUE
Note: We may request additional invoice level detail, if necessary.
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