
Indiana Department of Revenue Special Tax Division Form REF-1000A State Form 48389 (R2 / 5-13) Af?davit of Certi?cation of Tax Paid Invoices Mail to: Indiana Department of Revenue Special Tax Section.
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How to fill out the De 1000a Form online
Filling out the De 1000a Form online is an essential process for providing certification of tax paid invoices. This guide will help you through the necessary steps to accurately complete the form with ease.
Follow the steps to fill out the De 1000a Form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the name of the seller in the designated field, followed by any 'Doing Business As' (DBA) name if applicable. Fill in the address, city or town, state, zip code, and the Federal Employer Identification Number (FEIN).
- Provide the seller's social security number and business telephone number in the corresponding sections. If available, include an email address for further communication.
- Indicate the number of attached invoices and specify the name of the purchaser within the provided fields. This section verifies that the attached copies accurately represent sales of fuel.
- List each invoice number, date of purchase, and the total gallons purchased in the provided table. Additionally, indicate whether the fuel is diesel or gasoline by selecting the appropriate option.
- Once all invoices are listed, ensure copies of all invoices are attached to the form for review. Include the address where these records are available if needed.
- On the designated lines, the seller needs to provide their signature, title, and date of signing the document. This certifies the information is true.
- Finally, have the document notarized by a certified Notary Public. Fill out the notary's details, including signature, printed name, county of residence, and commission expiration.
- After completing the form, you can save your changes, download a copy for your records, print the document, or share it as required.
Complete your De 1000a Form online today for streamlined processing.
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