Form St-21 - Instructions For Sales And Use Tax Refund Application

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INSTRUCTIONS FOR SALES AND USE TAX REFUND APPLICATION
INCOMPLETE APPLICATIONS WILL BE RETURNED
GENERAL INSTRUCTIONS
FORM ST-21 INSTRUCTIONS
PART A- RETAILER (VENDOR)
WHEN TO FILE
File within three years from the date the tax was due.
Enter the retailer information.
WHERE TO FILE
PART B- CLAIMANT (CONSUMER)
Kansas Department of Revenue
Enter the claimant information.
Customer Relations
915 SW Harrison
PART C- REFUND INFORMATION
Topeka, Kansas 66625-2007
Check the appropriate boxes.
HOW TO FILE
PART D- REFUND REQUEST SCHEDULE
Complete form ST-21 and provide the appropriate
Please complete Part D with this information:
documentation to the retailer from whom you purchased the
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Invoice date - month and year (chronologicalorder).
exempt item. The retailer should file the refund request with
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Invoice number.
the Kansas Department of Revenue (KDOR). If the retailer is
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Vendor’s name.
no longer in business, insolvent, moved or unable to act, then
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A brief description of the invoiced item.
you may request the refund direct from KDOR. Complete Part
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Retail price of the invoiced item.
F of ST-21 to verify the retailer’s status. If you paid the tax
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Tax paid on the invoiced item.
direct to KDOR, then you may submit form ST-21 to KDOR
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A brief explanation of why the item is exempt.
without going through the retailer. Include copies of your re-
Attach additional information if the exemption is based
turns and supporting documentation. (K.A.R.. 91-19-49a, e, f,
on:
g, i)
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Materials consumed in production - Describe how the
materials are consumed.
DOCUMENTATION REQUIREMENTS
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Machinery & Equipment - Describe how the equip
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Exemption certificate for each exempt sale.
ment is used in the manufacturing process. List fixed
Note: A refund request based on K.S.A. 79-
asset accounts, account descriptions and fixed or de
3606(cc) requires additional information.
preciable assets.
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Employer Quarterly Wage Report and Contribution
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Ingredient or component part - Describe how the item
Return (front page only) for the claim period.
becomes an ingredient or component part.
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A summary similar to Schedule K-34, Part I,
“Determine qualified Employees.”
PART E- RETAILER STATEMENT
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Description of the business activity conducted at
Part E is completed by the Retailer if the Retail elects not to
the business facility and the claimant’s standard in-
participate in the refund process and the Consumer requests a
dustrial activity code.
refund directly from the Department.
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Project beginning and ending dates.
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“Qualified firms” under HPIP must also provide a
PART F- CLAIMANT/CONSUMER AFFIDAVIT
copy of the Kansas Department of Commerce and
Complete Part F if the Retailer refuses to participate in the
Housing certification letter.
refund process or cannot be located.
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Supporting invoices.
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Amended returns. (If filing ST-36 include Part III.)
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Executive power of attorney for person acting on
behalf of the claimant.
If you have any questions, please call toll-free 877-526-7738 between 7:00 a.m. and
5:30 p.m., Monday through Friday.
Page 1
ST-21 (8-02)

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