CHAPTER 12-26 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1: Taxpayer Information. Fill in your name, Sales Tax Certificate Number, and Federal Employer Identification Number (FEIN). Ensure that you include your Social Security Number (SSN), state, ZIP code, and contact details.
3. If applicable, complete Section 2 for a Taxpayer Representative. Include their name, address, and contact information. Remember to attach the required Power of Attorney form.
4. In Section 3, specify the Collection or Reporting Period(s) by entering the relevant dates and the date when the tax was paid.
5. Proceed to Section 4: Tax Categories. Check all applicable boxes for the types of taxes paid and reasons for your refund claim.
6. In Section 5, enter the Refund Amount and provide a brief explanation for your refund claim.
7. Finally, sign and date the application in the Authorization and Signature section before submitting it via mail or fax as instructed.

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