Form Rev 32 2485e (A) - Application For Refund Of Use Tax

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Washington State
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Department of Revenue
Compliance Procedures & Administration
PO Box 47473
Olympia WA 98504-7473
APPLICATION FOR REFUND OF USE TAX
Please attach a copy of title application showing proof of tax paid to the County Auditor and proof of
tax paid another state if applicable. If application is for a leased vehicle, attach proof of the lease. (See
reverse side for documentation needed).
$
Name
Amount of Use Tax Paid
$
Street
Amount of Refund
City
State
Zip Code
Vehicle Description
License Plate Number
Year
Make
Model
VIN Number
Details of Use Tax Payment
(Complete From Validation Stamped on Application)
County Where Filed
Date Validated
Local Code
Applicant believes and therefore submits that the tax in question was not legally due and owing for the
following reasons:
I hereby apply to the Department of Revenue for refund of Use Tax paid by me to the County Auditor
mentioned above, as agent for the Department of Revenue.
Date
Applicant’s Signature
Phone Number
REV 32 2485e (a) (6/21/06)
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