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Get UT TC-55A 2013

368-8824 TC-55A Rev. 10/13 Get forms online - tax.utah.gov Applicant name License plate, permit, or assigned number Address Vehicle/Hull Identification Number (VIN/HIN) City State Zip code Daytime telephone number 1. Amount of sales tax or fees paid $ 2. Correct amount of sales tax or fees as computed by taxpayer $ 3. Amount claimed as a refund (subtract amount on line 2 from line 1) $ I am submitting this claim for the following reasons: (use reverse side if needed) Applicant.

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