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CLAIM FOR LOCAL TAX REBATE FORM ET-179A - formupack 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out your company information in Blocks 1-6. Enter your Company Name, FEIN, Mailing Address, City, State, and Zip Code.
- If you do not have an Arkansas Sales Tax Permit Number, complete Blocks 7-15 with the Owner's Name, NAICS Code of Business, Type of Ownership, Location Address, City, State, Zip Code, Contact Name, and Contact Phone Number.
- In Blocks 16-19, input the Invoice Number and Invoice Date. Specify the City/County where the purchase was made and its corresponding Tax Code.
- Proceed to Blocks 20-27 for Local Cap Rebate Calculations. Fill in the Invoice Amount (Block 20), Standard Cap Amount (Block 21), and calculate the Rebate Amount based on local tax rates.
- Finally, sign and date the form in Blocks 28-29. Ensure all photocopies of invoices are attached before submission.
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