Fill a Valid St 12B Georgia Template
Contents
The ST-12B form is an essential tool for Georgia residents seeking to reclaim sales tax they may have overpaid during a purchase. This affidavit, provided by the Georgia Department of Revenue, allows purchasers to formally document their claim for a sales tax refund. Key components of the form include details about the purchaser, such as their name and sales tax number, as well as information about the dealer from whom the item was purchased. Additionally, the form requires specifics about the purchase itself, including the invoice number and the gross amount of the sale, excluding tax. A crucial aspect of the ST-12B is the necessity for purchasers to indicate whether they have previously requested a refund from the dealer and to provide supporting documentation, such as proof of mailing. This not only strengthens the claim but also ensures that the process is transparent and verifiable. Furthermore, the form includes a declaration that emphasizes the importance of truthfulness, as any false statements could lead to serious consequences. By understanding the ST-12B form and its requirements, purchasers can navigate the refund process more effectively and ensure they receive any funds they are rightfully owed.
St 12B Georgia Example
Georgia Department of Revenue Taxpayer Services Division 1800 Century Blvd. NE Atlanta, GA
PURCHASER’S CLAIM FOR SALES TAX REFUND AFFIDAVIT
PLEASE RETAIN A COPY FOR FUTURE AUDIT
Name of Purchaser
Purchaser’s Sales Tax Number (if Purchaser does not have a Sales Tax Number, provide Federal Employer Identification Number or Social Security Number)
Name of Dealer
Dealer’s Sales Tax Number (if known)
Dealer’s Street Address
City
State
Zip Code
Date of
Purchase
Invoice No.
Gross Amount
of Sale
Excluding Tax
Exempt Portion
of Sale
Tax Paid by Purchaser to Dealer
Item Purchased
1.Did you request a sales tax refund from the Dealer?
Yes
No. If yes, on what date? ____________________. If no, whynot?________
2.
3.
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
a.Enclose a copy of your request; and
b.Enclose a copy of proof of mailing or proof of delivery.
Did the Dealer refund any sales tax to you? |
Yes |
No. If yes, how much? $_______________________ |
|
Did the Dealer act upon your request for refund in any way? |
Yes |
No. If yes, what did the Dealer do? _________________________ |
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Under penalties of perjury, I swear or affirm that I have personal knowledge and understanding of the statements made in this sales tax claim for refund. The facts given in the claim and affidavit are true, correct and complete to the best of my knowledge and belief. I further understand that false statements could result in criminal prosecution as well as the repayment of any refunded tax, plus interest and penalties.
__________________________________________ |
_____________________________________________________ |
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Purchaser’s Signature |
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Purchaser’s Name and Title (if applicable) |
Subscribed and sworn to me, this _______ day of ____________________, __________. |
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Notary Signature: ______________________________________________________ |
[Notary seal] |
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Typed or Printed Name of Notary: _________________________________________ |
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NOTARY PUBLIC
THIS AFFIDAVIT SHALL BE ATTACHED TO FORM
Document Breakdown
| Fact Name | Description |
|---|---|
| Form Purpose | The ST-12B form is used by purchasers in Georgia to claim a sales tax refund from the dealer. |
| Governing Law | This form is governed by the Georgia Sales and Use Tax Act, O.C.G.A. § 48-8-1 et seq. |
| Required Information | Purchasers must provide details such as their name, sales tax number, dealer information, and the specifics of the purchase. |
| Notary Requirement | The affidavit must be notarized to validate the purchaser's claim and ensure the accuracy of the provided information. |
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