Amended Sales and Use Tax Form
For Credit or Refund Submissions
Are you submitting for a credit or refund?
*
Yes, I'm requesting a credit
Yes, I'm requesting a refund
No, I'm making a payment (payments must be returned via regular mail)
Business Name
*
Account Number
*
Tax Period
*
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Enter in the credit or refund requested amount
*
Please upload your completed amended Sales and Use Tax Form
*
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