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Get CT DRS AU-524 2015

CT SALES TAX I.D.# COMPLETE NAME OF RETAILER CT SALES TAX I.D.# STREET ADDRESS, CITY OR TOWN, STATE, AND ZIP CODE INVOICE DATE GROSS AMOUNT OF PORTION OF SALE INVOICE NUMBER SALES EXCLUDING SUBJECT TO TAX REFUND CLAIM TAX COLLECTED AND PAID ON PORTION SUBJECT TO REFUND CLAIM ITEM SOLD AND REASON FOR REFUND ATTACH ADDITIONAL WORKSHEETS AS NEEDED. DECLARATION BY RETAILER I am the authorized representative of the retailer listed above. I declare under penalty of false statement that the.

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