Form Ga 110L PDF Details

In navigating the complexities of tax refunds within Indiana, the GA-110L form emerges as a crucial document for taxpayers seeking to claim a refund from the Indiana Department of Revenue. This multifaceted form caters to a wide array of taxpayers by accommodating various tax types such as Financial Institutions, Individual, Corporation, and Sales & Use, among others. It demands precise taxpayer information, including identification numbers and addresses, and specifies the necessity of a detailed explanation for the refund claim, backed by all relevant documentary evidence. The instruction that incomplete submissions will lead to the denial or return of claims underscores the importance of thoroughness in filling out the form. Additionally, the form mentions a processing timeframe and highlights the requirement for a Power of Attorney if discussions regarding the claim need to extend beyond the taxpayer. Finally, a declarative section at the end of the form, requiring the taxpayer's signature, serves as a testament to the accuracy and legality of the claim, adding a layer of accountability. This detailed structure of the GA-110L form signifies its role in ensuring that refund claims are justifiably processed, maintaining a system of transparency and efficiency within Indiana's tax refund process.

QuestionAnswer
Form NameForm Ga 110L
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesIRP, IFTA, Innkeepers, specic

Form Preview Example

Form

 

 

Indiana Department of Revenue

 

GA-110L

 

 

 

Claim for Refund

 

State Form 615

 

 

 

 

 

Mail to: 100 N Senate Ave. Rm N203 MS#105

R2 / 8-08

 

 

 

 

 

Indianapolis, IN 46204-2253

 

 

 

 

 

 

 

Name of Taxpayer

 

 

 

 

 

Taxpayer Identification Number:

 

 

 

 

 

 

 

Address:

 

 

 

 

 

Federal Identification Number:

 

 

 

 

 

 

 

 

City:

 

State:

 

Zip:

 

Social Security Number:

 

 

 

 

 

 

 

 

 

Check Tax Type

□Financial Institutions

□IFTA

□Oil Inspection

□Underground Storage

□Cigarette

□Food & Beverage

□Individual

□Oversize/Overweight

□Withholding

□Corporation

□Gaming Excise

□IRP

□Prepaid Sales on Gasoline

□Other ___________________

□County Innkeepers

□Gasoline

□Motor Carrier

□Sales & Use

 

□Fiduciary

□Hazardous Chemical

□MVR-Excise

□Special Fuel

 

A complete explanation is required as to why the refund is due. Attach ALL documentary evidence to support your claim. Failure to attach all documen- tation with the claim will result in the claim being returned or denied. Please allow 45 days for processing before contacting the Department regarding the status of your claim. A Power of Attorney (POA-1) form must be completed and attached authorizing the Department to discuss your claim and specific tax type with anyone other than the taxpayer.

Year or Period Ending

Requested Refund

Amount

Date(s) of Tax

Payment(s)

Year or Period Ending

Requested Refund

Amount

Date(s) of Tax

Payment(s)

Total Requested Refund Amount

$

I hereby certify that the foregoing account is just and correct; that the amount claimed is legally due, after allowing all just credits, and that no part of the same has been paid. I further understand that this refund may be applied to any liability which I currently have outstanding. Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct, and complete. (If you are claiming a refund for a year in which a joint return was filed, each spouse must sign this refund claim.)

___________________________________________

___________________________________

____________________________

Signature

Printed Name

Title

___________________________________________

_______________

 

Daytime Phone Number

Date

 

▼ THE SPACE BELOW IS FOR DEPARTMENT USE ONLY ▼

Year

B & I Number of Return or Liability Number

Amount Paid

Interest

Paid From:

Interest Paid To:

Interest

Total Refunded

 

 

Total Amount of Refund

 

 

 

_____________________________________________________

______________________

____________________________________

Auditor/Tax Analyst Originating Refund

Date

Account Number

_____________________________________________________

______________________

Claim Number:

Supervisor/Administrator

Date

 

 

 

____________________________________

_____________________________________________________

______________________

 

Commissioner/Appointee

Date

 

How to Edit Form Ga 110L Online for Free

If you intend to fill out N203, there's no need to install any sort of programs - simply make use of our online PDF editor. To maintain our tool on the forefront of practicality, we strive to adopt user-driven capabilities and improvements regularly. We are routinely grateful for any suggestions - play a vital role in remolding PDF editing. All it takes is several easy steps:

Step 1: Access the PDF file inside our tool by hitting the "Get Form Button" at the top of this page.

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This form will need specific information; to ensure consistency, please make sure to take heed of the next steps:

1. To start with, while filling out the N203, begin with the form section that features the subsequent blanks:

Best ways to fill out Identication step 1

2. Once your current task is complete, take the next step – fill out all of these fields - Total Requested Refund Amount, I hereby certify that the, Signature, Printed Name, Title, Daytime Phone Number, Date, Year, B I Number of Return or Liability, THE SPACE BELOW IS FOR DEPARTMENT, Amount Paid, Interest, Paid From, Interest, and Total Refunded with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Part # 2 of filling out Identication

It's easy to make an error while completing the Total Requested Refund Amount, so be sure you go through it again prior to deciding to finalize the form.

3. This next stage is normally easy - complete all of the form fields in SupervisorAdministrator, Claim Number Date, CommissionerAppointee, and Date to complete this part.

Identication completion process outlined (step 3)

Step 3: Prior to moving on, ensure that all blank fields have been filled in right. Once you verify that it's correct, click on “Done." Right after starting a7-day free trial account at FormsPal, you will be able to download N203 or email it right away. The PDF document will also be easily accessible via your personal account page with all of your modifications. At FormsPal, we endeavor to guarantee that all your information is kept private.

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