Form St-14 - Claim For Refund - South Carolina Department Of Revenue
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2STATE OF SOUTH CAROLINA
ST-14
DEPARTMENT OF REVENUE
(Rev. 3/96)
CLAIM FOR REFUND
5017
Section I: Taxpayer Identification
Taxpayer Name(s)
(Please type or pint)
Address
State
Zip Code
City
Telephone
Period(s) Covered
Type(s) of Tax(es)
Identification No. (Social Security No., License No., etc.)
Section II: Reason for Claim for Refund.
State
all your reasons for claiming this refund (add additional sheets if necessary).
(Over)
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Parent category: Financial