Form App-153 - Request For Sales Tax Refund
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1MAINE REVENUE SERVICES
SALES, FUEL & SPECIAL TAX DIVISION
REQUEST FOR SALES TAX REFUND
To ensure prompt processing of this application, please fill in all applicable lines and attach all
pertinent information.
Name________________________________________
Social Security #_________________________________
Address ______________________________________
Federal ID #____________________________________
City/State/Zip___________________________________
Contact Person __________________________________
Telephone # _________________________
AMOUNT OF REFUND REQUEST $_______________________
(Additional information may be required)
WHAT SHOULD BE INCLUDED WITH THE APPLICATION?
1. If tax was paid to a retailer and not directly to Maine Revenue Services, the refund(s) should be obtained from the
must
retailer. If the retailer refuses to issue the refund, documentation indicating such from the retailer
be included
with this application.
2. Cover letter explaining the reason for the refund request.
3. Proof tax was paid. (copies of invoices, etc.)
4. Any other pertinent information.
5. If the refund is for tax paid on a motor vehicle, boat or other vehicle please send a copy of the registration, including: Year;
Make; Model; VIN number; Plate number; Place and Date of registration.
.
* Refunds are disallowed when an application is received more than 3 years after the date of over payment.
* This refund request is considered incomplete until all requested additional information has been timely received.
* Failure to provide additional information could result in a denial of your request.
I certify under the pains and penalty of perjury that the statements made in this application and any attachments thereto are true, accurate and complete to the
best of my knowledge and belief.
Signature _______________________________ Date _______________________________
Print Name _____________________________ Title _______________________________
Mail Application & Documentation to:
Maine Revenue Services
Sales, Fuel & Special Tax Division
P.O. Box 1060
Augusta, ME 04332-1060
APP-153 Rev. 02/11
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