Form St-14 - Claim For Refund
ADVERTISEMENT
1STATE OF SOUTH CAROLINA
ST-14
DEPARTMENT OF REVENUE
CLAIM FOR REFUND
(Rev. 7/21/05)
5017
(For Sales Tax and Related Taxes)
Refund Amount Requested
Type of Tax
Amount Requested
(See Taxpayer's Bill of Rights on reverse side.)
Section I: Taxpayer Identification
License or Registration No.
SSN or FEI No.
SID#
Taxpayer Name
Attention To
Mailing Address
City
County
State
ZIP
Period(s) Covered
Telephone: (Business)
(Home)
Section II: Reason for Refund
State all your reasons for claiming this refund. (Add additional sheets if necessary and attach supporting documentation.)
Taxpayer's Signature
Date
Corporation's Name (if applicable)
By
Title
Date
Signature
For Office Use Only
Refund Amount Granted
Tax Type
Tax Amount
Interest
Refund Amount
ORDER FOR REFUND
In accordance with the provisions of Section 12-54-25 and 12-54-85 of Chapter 54 of Title 12; Section 12-60-470 of
Chapter 60 of Title 12 of the Code of Laws of South Carolina, 1976, as amended, a refund is hereby ordered for the
following reasons:
PDMS:
BY
TITLE
DATE ORDERED
APPROVED BY
TITLE
DATE
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial