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Washington Free Printable Microsoft Word - 41 0105.doc for 2024 Washington Application for Refund or Credit

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Application for Refund or Credit
Microsoft Word - 41 0105.doc

Reset This Form Department of Revenue Application for Refund or Credit Important: Applications not fully completed or received without supporting documentation will not be accepted. Account ID Period covered by Claim Total Refund Claimed Name of Claimant Address Telephone Number City State Zip Code Name of Representative (attach a Confidential Tax Information Authorization form if filing on behalf of claimant) Address Telephone Number City State Zip Code Provide a full explanation on which your claim is based. Use additional sheets if necessary and send all documents necessary to properly substantiate your claim. Subject to penalty of perjury, I declare that the information provided is true, correct and complete. I do hereby make application for refund or credit, pursuant to RCW 82.32.060, and certify that all taxes for which this claim is filed have been paid. Claimant’s or Representative’s Signature Date Print This Form Name and Title (print) Mail this application with supporting documentation to: Attn: Refunds State of Washington Department of Revenue PO Box 47476 Olympia, WA 98504-7476 For tax assistance or to request this document in an alternate format, visit http://dor.wa.gov or call 360-705-6705. Teletype (TTY) users may use the Washington State Relay Service by calling 711. REV 41 0105e (4/13/20) Instructions for Completing the Application for Refund or Credit Form 1. Who should file this form? A seller who is claiming a refund or credit to their account for overpaid taxes, penalties, or interest. A buyer that has paid retail sales tax in error and one of the following conditions exists:  The seller is no longer engaged in business.  The seller has moved or the buyer cannot locate the seller.  The seller is insolvent and is financially unable to make the refund.  The seller refuses to refund the retail sales tax directly to the buyer, but agrees it should not have been collected. 2. What information needs to be included on the Application form? All applicable sections must be fully completed or the application will not be accepted. If a claim is being filed that involves more than one account ID, then a separate application must be filed for each account. The claim must include the following information:  Taxpayer's name and account ID number  Total refund amount being claimed  Tax classifications and periods being affected  Basis for the claim  Signature of taxpayer or representative 3. What documentation needs to be attached to the form to support this claim? RCW 82.32A.030 requires taxpayers to substantiate refund claims. Supporting documentation may include the following items:  Invoices  Resale certificates  Sales tax exemption certificates  Proof that sales tax has been paid  Proof of refund or credit to customer  Detail of bad debts  Contracts and other sales documents 4. When does the Seller’s Declaration need to be attached? The Seller’s Declaration form must be attached when the buyer is filing the claim, has paid retail sales tax in error, and has obtained a signed Seller’s Declaration affirming the seller will not refund or credit the sales tax directly back to the buyer. REV 41 0105e (4/13/20) 5. When does the Buyer’s Declaration need to be attached? The Buyer’s Declaration form must be attached when the buyer is filing the claim, has paid retail sales tax in error, but is unable to obtain a signed Seller’s Declaration. 6. What will happen if this form is not fully completed or if supporting documentation is not attached? You will be notified that your Application for Credit or Refund was not accepted. 7. What tax periods can be included within the claim? RCW 82.32.060 provides that a refund or credit cannot be made for taxes, penalty, or interest paid more than four years prior to the beginning of the calendar year in which the refund application is made, unless a valid written waiver has been executed. 8. What if the records to substantiate my claim contain too many pages to attach them all? Provide a detailed spreadsheet containing the transaction information supporting your claim. When possible, submit the information electronically using Secure Messaging from the Department’s website at dor.wa.gov 9. What if my company is currently under an audit conducted by the Department of Revenue? Present the completed application and required documentation directly to the Revenue Auditor. 10. What if I have questions about my claim? Question about the form: Call the Department of Revenue by phone at 360-705-6705, or send an email inquiry to [email protected] Questions about a claim: Dial 360-705-6215 11. Where do I mail this form and supporting documents once they are completed? Please mail your claim to the following address: Attn: Refunds Washington State Department of Revenue PO Box 47476 Olympia, WA 98504-7476
Extracted from PDF file 2023-washington-refund-application.pdf, last modified November 2007

More about the Washington Refund Application Sales Tax TY 2023

A seller who is claiming a refund or credit to their account for overpaid taxes, penalties, or interest. A buyer that has paid retail sales tax in error and one of the following conditions exists:  The seller is no longer engaged in business.  The seller has moved or the buyer cannot locate the seller.  The seller is insolvent and is financially unable to make the refund.  The seller refuses to refund the retail sales tax directly to the buyer, but agrees it should not have been collected.

We last updated the Application for Refund or Credit in February 2024, so this is the latest version of Refund Application, fully updated for tax year 2023. You can download or print current or past-year PDFs of Refund Application directly from TaxFormFinder. You can print other Washington tax forms here.

Other Washington Sales Tax Forms:

TaxFormFinder has an additional four Washington income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
REV 84-0002ea Real Estate Excise Tax Supplemental Statement
REV 27-0002 Buyer’s Affidavit for In-State Delivery of Motor Vehicles
CETR-A Annual Combined Excise Tax Return
REV 27-0021 Manufacturer’s Sales and Use Tax Exemption Certificate For Manufacturing Machinery and Equipment
Form F0003 Washington Sales Tax Exemption Resale Certificate

Download all WA tax forms View all 5 Washington Income Tax Forms


Form Sources:

Washington usually releases forms for the current tax year between January and April. We last updated Washington Refund Application from the Department of Revenue in February 2024.

Show Sources >

About the Sales Tax

Sales taxes are applied to the transfer of goods (and sometimes services) to the end consumer in most of the fifty states, and are collected by the vendor from their customers and remitted to the state taxation department on a regular basis. Therefore, most sales tax related tax forms are applicable to businesses, and not private individuals.

Historical Past-Year Versions of Washington Refund Application

We have a total of six past-year versions of Refund Application in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Refund Application

Microsoft Word - 41 0105.doc

2022 Refund Application

Microsoft Word - 41 0105.doc

2021 Refund Application

Microsoft Word - 41 0105.doc

2020 Refund Application

Microsoft Word - 41 0105.doc

2019 Refund Application

Microsoft Word - 41 0105.doc

2018 Refund Application

Microsoft Word - 41 0105.doc


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Source: http://www.taxformfinder.org/washington/refund-application