Form St 12B Georgia PDF Details

Navigating the complexities of tax regulations can often seem daunting for both individuals and businesses alike. In the state of Georgia, the ST-12B form plays a crucial role for those seeking a sales tax refund. This form, officially titled the "Purchaser’s Claim for Sales Tax Refund Affidavit," is a document processed by the Georgia Department of Revenue. The aim is to provide a structured way for purchasers to claim refunds on sales tax that, for various reasons, was unduly paid. The form requires detailed information including the purchaser's name and tax identification numbers, as well as comprehensive details about the dealer from whom the purchase was made. Additionally, it seeks information regarding the initial request for a refund directly from the dealer, the outcome of such requests, and the amount, if any, that was refunded. Given the stringent legal implications, including potential penalties for perjury, the form must be filled out with the utmost accuracy and honesty. Furthermore, the requirement for a notary's signature underscores the seriousness and formal nature of the claim. This mechanism, while rigorous, underscores Georgia’s commitment to ensuring that sales tax refunds are processed in a manner that is both fair and accountable to all parties involved.

QuestionAnswer
Form NameForm St 12B Georgia
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesExcluding, Georgia, repayment, Subscribed

Form Preview Example

ST-12B (Rev 1/12)

Georgia Department of Revenue Taxpayer Services Division 1800 Century Blvd. NE Atlanta, GA 30345-3205 1(877) 423-6711

PURCHASER’S CLAIM FOR SALES TAX REFUND AFFIDAVIT

PLEASE RETAIN A COPY FOR FUTURE AUDIT

Name of Purchaser

Purchaser’s Sales Tax Number (if Purchaser does not have a Sales Tax Number, provide Federal Employer Identification Number or Social Security Number)

Name of Dealer

Dealer’s Sales Tax Number (if known)

Dealer’s Street Address

City

State

Zip Code

Date of

Purchase

Invoice No.

Gross Amount

of Sale

Excluding Tax

Exempt Portion

of Sale

Tax Paid by Purchaser to Dealer

Item Purchased

1.Did you request a sales tax refund from the Dealer?

Yes

No. If yes, on what date? ____________________. If no, whynot?________

2.

3.

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

a.Enclose a copy of your request; and

b.Enclose a copy of proof of mailing or proof of delivery.

Did the Dealer refund any sales tax to you?

Yes

No. If yes, how much? $_______________________

Did the Dealer act upon your request for refund in any way?

Yes

No. If yes, what did the Dealer do? _________________________

 

 

 

 

 

 

 

 

Under penalties of perjury, I swear or affirm that I have personal knowledge and understanding of the statements made in this sales tax claim for refund. The facts given in the claim and affidavit are true, correct and complete to the best of my knowledge and belief. I further understand that false statements could result in criminal prosecution as well as the repayment of any refunded tax, plus interest and penalties.

__________________________________________

_____________________________________________________

Purchaser’s Signature

 

Purchaser’s Name and Title (if applicable)

Subscribed and sworn to me, this _______ day of ____________________, __________.

Notary Signature: ______________________________________________________

[Notary seal]

Typed or Printed Name of Notary: _________________________________________

 

NOTARY PUBLIC

THIS AFFIDAVIT SHALL BE ATTACHED TO FORM ST-12 AND MADE A PART OF PURCHASER’S SALES TAX CLAIM FOR REFUND

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This PDF form will require specific info to be typed in, so be sure to take some time to enter precisely what is asked:

1. Fill out your st12b with a number of necessary blanks. Get all of the required information and make sure there is nothing neglected!

Stage # 1 of completing ST-12

2. Once your current task is complete, take the next step – fill out all of these fields - a Enclose a copy of your request, Did the Dealer refund any sales, Under penalties of perjury I swear, Purchasers Name and Title if, Notary seal, and THIS AFFIDAVIT SHALL BE ATTACHED with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

ST-12 completion process outlined (part 2)

You can easily make errors when completing your a Enclose a copy of your request, so be sure to look again prior to deciding to finalize the form.

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