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51A200 3-08 Commonwealth of Kentucky DEPARTMENT OF REVENUE APPLICATION FOR KENTUCKY ENTERPRISE INITIATIVE ACT KEIA TAX REFUND PROGRAM Name Enter Name as it Appears on the KEIA Application Telephone Number Permanent Location Number and Street City or Town State ZIP Code Mailing Address if different Other Information FEIN Refund Requested Amount E-mail Address KY Sales and Use Account Number if applicable 1. A claim for refund must be filed within .

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