Form St11 -Pur - Purchaser Sales Tax Refund Claim And Schedule Page 3

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ST11-PUR
Purchaser Sales Tax Refund Schedule
See sample schedule on back. Attach to Form ST11-PUR.
Invoice
Invoice
*Specify
Mo/yr
Purchase
Total
MN tax
Exempt
date
number
Vendor name
Equipment purchased
sales or
tax was
price
tax paid
refund
reason
use tax
paid
claimed
code
* Please use the ST11-PUR to request a refund of sales tax.
Total
Amended returns should be filed for use tax accrued in error.

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