MORGAN COUNTY SALES TAX OFFICE 

                                        PETITION FOR REFUND 
 
Taxpayer’s Name__________________________________    Type of Tax(s)___________________ 
Address__________________________________________ Period Covered__________________ 
_________________________________________________   Total Amount Refund Request__________   
Telephone Number__________________________________   Account Number________________ 
Taxpayer’s ID Number________________________________  
      (Social Security Number or FEIN) 
 
1.    Explain below the reason(s) for your refund request.                                     
             (Attach additional sheets if necessary.) 
        _____________________________________________________________________________________________________ 
         _____________________________________________________________________________________________________ 
         ____________________________________________________________________________________________________ 
         ____________________________________________________________________________________________________ 
          _____________________________________________________________________________________________________ 
       
2.       If you have additional evidence or information which will support you, check the appropriate block and attach photocopies if possible. 
          .dehcattA noitamrofnI ro ecnedivE lanoitiddA ٱ 
 
3.       Do you wish to schedule a conference during which you may present you position to the Department? (If you mark yes, you 
           will be notified in writing of a date and time for a conference.) 
           oN ٱ    seY ٱ 
 
                                                                       _____________________________________________    _________________________ 
                                                                        Signature of Taxpayer or Representative                             Date 
                                                                        (Representative Must Attach Power of Attorney) 
 
                                                                       _____________________________________________                                                                                                               
                                                                        Title 
 
      NOTE:  If this is an appeal by a corporation, an authorized officer must sign.  An appeal by a partnership requires the 
                signature of a partner. 
 
Questions may be directed to the Morgan County Sales Tax Office at telephone number (256) 351 – 4618.