FINAL Refund General Instructions 02 23 07 DOC 2022-2026

Lack of adequate documentation will result in disallowance of the refund. Form 2004-6 2/07 SECTION 1 CLAIM INFORMATION To Be Used by all Claimants PLEASE PRINT OR TYPE Claimant s Name Federal I. D. Number FEIN Address Social Security Number City State Telephone Number Best time to Call Weekday Daytime Hours Area Code Zip Claimant s Sales/Use Tax Permit This refund is for Sales/Use tax paid during the period to INDICATE THE TOTAL AMOUNT OF REFUND YOU ARE REQUESTING Under penalties of law I declare that the amount of sales or use tax for which I am submitting this claim for refund has NOT been refunded or credited to me by the Department or the seller to whom the tax was previously paid. I will immediately send payment for any such duplicate refund to the Arkansas Department of Finance Administration PO Box 1272 Little Rock AR 72203-1272. General Instructions Arkansas Claim for Refund ARKANSAS STATE AND LOCAL SALES/USE TAXES This packet may be used by a buyer or a seller to request a refund of state and local sales/use tax paid in error. Procedures and definitions used throughout this packet are in accordance with Arkansas Rule GR-81. 1. How to request a refund in Arkansas 1. Refund Claims Made by Vendors. Taxes are paid to the state by a vendor. The vendor is requesting the refund from the state. The vendor is the claimant. Documentation needed 1. Section 1 and 2 of this packet. Forms available at www. state. ar. us/salestax or by calling 501-682-7130. 2. Copies of all invoices included as part of the refund request arranged in chronological order from the oldest invoice to the most recent. 3. A spreadsheet or detailed listing showing that tax was remitted to the State of Arkansas for all invoices that are included in this refund request. a* The vendor has borne the tax i*e* the vendor did not collect the tax from the customer but did pay the tax to the state. b. The vendor repaid the tax to the customer from whom the vendor collected the tax or c* The customer consents to refunding the tax to the vendor. 5. Any additional documentation that will assist DFA in verifying the refund claim* 2. Refund of Taxes Paid Directly to the State by the Purchaser. Taxes are paid directly to the state by a purchaser. The purchaser is requesting the refund from the state. The purchaser is the claimant. 3. Vendor Assignment Refund Claims. Taxes are paid to a vendor by a purchaser. The vendor is assigning the right to the refund to his customer. The purchaser is the claimant. 3. If your claim for refund includes sales tax paid to more than one vendor you must attach a separate Section 2 and a separate Section 3 for each vendor. Summarize your total refund claim in Section 1. 4. Each separate seller must Complete Section 2 of this packet Column 12 and Section 3. refund. Note All requests for refund must include adequate documentation to prove entitlement to the requested refund. Lack of adequate documentation will result in disallowance of the refund. Form 2004-6 2/07 SECTION 1 CLAIM INFORMATION To Be Used by all Claimants PLEASE PRINT OR TYPE Claimant s Name Federal I.