Form Rev 41 0106E PDF Details

Navigating the process of obtaining a refund of retail sales tax in Washington state requires an understanding of the Department of Revenue Seller’s Declaration for Buyer’s Refund form. This crucial document outlines the pathway for buyers to claim a refund of sales tax directly from the State of Washington Department of Revenue, under specific circumstances. It involves a detailed exchange between the buyer and seller, where both parties must provide accurate information and official signatures. Essential details such as the names and tax registration numbers of both the buyer and seller, sale and item description, and the amount of retail sales tax paid are to be included. Moreover, this form mandates the seller’s acknowledgment that they have remitted the sales tax to the Department of Revenue and have not refunded or credited the buyer. Both buyer and seller undertake certain responsibilities and waive specific rights through this document, under penalty of perjury. Furthermore, this form highlights various instructions for completing it correctly, stipulating conditions under which it should be filed, documents that need to be attached, and guidance for cases where direct contact with the seller isn't possible. Filing this form accurately and attaching all necessary documentation is imperative for the processing of a refund claim, providing a clear pathway for both buyers and sellers to ensure compliance with state tax laws.

QuestionAnswer
Form NameForm Rev 41 0106E
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesTTY, remitted, wa dept of revenue, 4-digit

Form Preview Example

Department of Revenue

Seller’s Declaration

for Buyer’s Refund of Retail Sales Tax

Name of Buyer

 

Buyer’s Tax Registration Number

Name of Seller

 

Seller’s Tax Registration Number

Seller’s Address

City

State

Zip

Date of Sale

Invoice Number

Sales Price

(Before Tax)

Amount of Retail

Sales Tax Paid

Location of Sale (Use 4-digit code)

Description of Items Purchased

Buyer’s Authorization

By signing this declaration, I authorize the State of Washington Department of Revenue to contact the seller regarding these purchases, and confirm that I have not obtained a refund or credit for these purchases from the seller nor will I seek such a refund or credit for these purchases from the seller in the future. This authorization is made pursuant to RCW 82.32.330, and I waive all my rights to prior notice of disclosure of tax information specified in RCW 82.32.330.

________________________________________________

_________________________________

Buyer’s Signature

Date

___________________________________________________________

 

Name and Title (print)

 

Seller’s Declaration and Waiver of Seller’s Rights to Claim Refund or Credit

Subject to penalty of perjury, by signing this form I declare that the above information is accurate, and that the seller has remitted to the Department of Revenue the retail sales tax sought to be refunded. I attest that the seller has not refunded or credited the retail sales tax to the buyer, and request that the Department of Revenue refund the retail sales tax directly to the buyer. I also waive any rights to seek a future refund or credit of the sales tax listed.

________________________________________________

_________________________________

Seller’s Signature

Date

___________________________________________________________

 

Name and Title (print)

 

Mail this form with the Application for Refund or Credit to:

Attn: Refunds

 

State of Washington Department of Revenue

 

PO Box 47476

 

Olympia WA 98504-7476

For tax assistance, visit http://dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.

REV 41 0106e (12/27/07)

Instructions for Completing the Seller’s Declaration Form

Buyer’s Instructions:

1.When should a buyer file this form?

A buyer should complete this form when the seller agrees to sign the Seller’s Declaration and waiver of seller’s rights, and the seller is requesting that sales tax be refunded directly to the buyer by the Department of Revenue for any of the following reasons:

•The seller is no longer engaged in business.

•The seller is insolvent and is financially unable to make the refund.

•The seller refuses to refund the retail sales tax but agrees it should not have been collected.

2.What if I can’t locate the seller or the seller refuses to sign the Seller’s Declaration?

If the seller cannot be located or if the seller refuses to sign the Seller’s Declaration, then you will need to complete a Buyer’s Declaration for Refund of Retail Sales Tax form.

3.What information needs to be completed on the form?

All applicable sections must be fully completed, and the form must be signed by both the buyer and seller.

4.What will happen if this form is not fully completed or signed?

You will be notified that your retail sales tax refund claim was not accepted.

5.How can I get the 4-digit code for the “Location of Sale” if I don’t know it?

The 4-digit location code can be obtained on our website at http://dor.wa.gov by clicking on the

FIND THE SALES TAX RATE (GIS) link, on the homepage.

6.What documentation needs to be attached to the form?

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

•Contracts and other sales documents

7.What if I have a refund claim for purchases from more than one seller?

Provide a separate completed Seller’s Declaration or a Buyer’s Declaration form, along with supporting documentation, for each seller. These forms should be summarized on your Application for Refund or Credit.

REV 41 0106e (12/27/07)

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 http://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 this form?

Call the Department of Revenue by phone at 1-800-647-7706, or send an email inquiry to communications@dor.wa.gov

11.Where do I mail this form and supporting documents once they are completed?

Attach this form, and all supporting documents, to your

Application for Refund or Credit claim form and mail to the following address:

Attn: Refunds

Washington State Department of Revenue

PO Box 47476

Olympia WA 98504-7476

Seller’s Instructions:

Your customer (the buyer) should have entered information on this form concerning transactions for which they are claiming a refund of retail sales tax directly from the Department of Revenue.

Seller, please complete the following steps:

1.Examine the information to verify it is accurate.

2.Verify that you have not already credited your customer for the purchases listed.

3.Verify that your company has not already requested a refund of the sales tax from the Department of Revenue.

4a. Do not complete the seller’s portion, but reply back to the buyer explaining why you cannot complete the seller’s portion of this form if:

•you determine that the sales tax should not be refunded; or

•you will be refunding or crediting your customer directly.

4b. Complete the seller’s portion and return the signed form to your customer, if you determine that all of the information is accurate, and you agree that the Department of Revenue should refund the sales tax directly to the buyer.

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Part # 1 for submitting homepage

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