Rev 41 0104E Form – Fill Out and Use This PDF

The Rev 41 0104E form is a crucial document for buyers seeking a refund of retail sales tax from the Washington State Department of Revenue when a Seller’s Declaration cannot be obtained. It serves individuals who have paid sales tax in error but face challenges like the seller being unlocatable, no longer existing, or refusing to sign the necessary declaration. To make a successful claim, complete the form with careful attention to providing all required information and supporting documents. Click the button below to start filling out your form now.

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Rev 41 0104E Form PDF Details

Engaging with the Washington State Department of Revenue over matters of retail sales tax refund can often lead to navigating through intricate processes, one of which involves the Rev 41 0104E form. Designed for buyers seeking a refund of sales tax paid in error, this form serves as an assertion of the buyer’s efforts and rights in cases where a seller’s declaration cannot be secured. Reasons for this may include the inability to locate the seller, cessation of the seller’s business, or outright refusal by the seller to participate in the refund process. The form delineates a pathway for buyers to express their attempt to claim a refund directly from the seller and, when unsuccessful, to seek intervention by the Department of Revenue. It mandates a full disclosure of the transaction details, including the names and registration numbers of both the buyer and seller, sale specifics, and a description of purchased items among others. Furthermore, it emphasizes the necessity to attach substantiating documents such as invoices and sales tax exemption certificates to bolster the refund claim. The buyer’s declaration, soaked in legal undertones with a warning of perjury, underscores the seriousness with which the Department of Revenue views the accuracy and honesty in these declarations. Clearly setting out the steps for completion and submission, including where to mail the compiled documentation, it also outlines recourse in instances where complex claims exceed normal documentation or are entangled with ongoing audits. This introduction to navigating the Rev 41 0104E form aims to simplify the process, highlighting the requisite steps and documentation, ensuring that individuals are better prepared to reclaim erroneously paid taxes while staying compliant with the legal framework laid out by the Washington State Department of Revenue.

Question	Answer
Form Name	Rev 41 0104E Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	BuyersDeclar washington state declaration of buyer and seller form

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Department of Revenue

Buyer’s Declaration

for 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	Sales Price	Amount of Retail	Location of Sale	Description of Items Purchased
Date of Sale	Number	(Before Tax)	Sales Tax Paid	(Use 4-digit code)	Description of Items Purchased
	Number	(Before Tax)	Sales Tax Paid	(Use 4-digit code)

Buyer’s Declaration and Authorization

Subject to penalty of perjury, I affirm that the attached retail sales tax refund claim is being submitted to the State of Washington Department of Revenue without the participation of the seller for the following reason (check as applicable):

The buyer attempted in good faith to obtain a Seller’s Declaration, but could not locate the seller.

The buyer attempted in good faith to obtain a Seller’s Declaration, but the seller no longer exists.

The buyer attempted in good faith to obtain a Seller’s Declaration, but the seller refused to sign the form.

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)
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 0104e (12/27/07)

Instructions for Completing the Buyer’s Declaration Form

1.When should a buyer file this form?

A buyer should complete this form when the buyer is filing a refund or credit claim and has paid retail sales tax in error, but is unable to obtain a signed Seller’s Declaration for any of the following reasons:

•The buyer cannot locate the seller.

•The seller no longer exists.

•The seller refuses to sign the Seller’s Declaration form.

2.What if I have located the seller but the seller refuses to sign the Seller’s Declaration?

Complete the Buyer’s Declaration for Refund for Retail Sales Tax, and check the corresponding checkboxes in the “Buyer’s Declaration and Authorization” section.

The Department may contact the seller to determine why the seller refused to sign the Seller’s Declaration.

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

All applicable sections must be fully completed, and the form must be signed.

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 supporting documentation and either a Seller’s Declaration or a Buyer’s Declaration for each individual seller.

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

REV 41 0104e (12/27/07)

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1. The Rev 41 0104E Form necessitates particular details to be inserted. Ensure the next blanks are complete:

Stage number 1 for filling in Rev 41 0104E Form

2. Once the previous part is filled out, proceed to type in the relevant details in these: The buyer attempted in good faith, Name and Title print, Buyers Signature, Date, Attn Refunds State of Washington, and For tax assistance visit.

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Always be very careful when filling out Attn Refunds State of Washington and Name and Title print, as this is the section in which a lot of people make some mistakes.

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Rev 41 0104E Form – Fill Out and Use This PDF

Rev 41 0104E Form PDF Details

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