ST-6 
8/2022                                          AlABAmA DEPARTmEnT of   REvEnuE 
                                                                                                                                    Pay $__________________ 
                                                      SAlES AnD              u SET  Ax DIvISIon                                     The facts set out in this petition and the 
                                                                   ADmInISTRATIon SEcTIon                                           records of this office justify a refund in the 
                                                                                                                                    amount shown above. 
                                                      Petiti on o f r Re                     fund 
                                                                                                                                    ______ /______ /______ 
                                                      of Tax es Paido t  Sell er 
                                                      NOTE:  Separate Petitions are Required 
DATE RECEIVED: ____/____/______                                       For Each Type of Tax                                          ______ /______ /______ 
                                                                                                                                              DATE APPROVED 
        FOR  OFFICE  USE  ONLY                        Reset                                                                              FOR  OFFICE  USE  ONLY

   The undersign ed hereby m akes app il c ati        on fo  r re     fun ofd   _____________________________________________________________ 
_____________________________________________________________________________ Dollars, ($___________________________) 
for_____________________________________________________ ta  paidx                           t  saido  se er wh ll re ittedo        them ta  t  the Ax o aba a                                             l     m
Departm n of e t   Re e    v nu foe  r the peri d(s)o ___________________________________________________________ whi hc a                                                                                 mount was 
erron ou le s y paid, paid i n xc e ess   theof a mount du o e,  r was paid thr     ough m istake   of f c o la t  r  aw. 
___________________________________________________________________________________________________________________ 
Ex l n n p ai  i  detai  thel reason fos  r refun cl md  ai  (atta hc addition la  pages i  f n ce essary):

                                                                                                                   Petition                   _____________________ 

                                                                                                                   Adju m n st e t            _____________________ 

                                                                                                                   Discount                   _____________________ 

                                                                                                                   In terest                  _____________________ 

                                                                                                                   Tran f s er                _____________________ 
                                                                                                                   To l m ta  A t. T     o
                                                                                                                   Be Refunded                _____________________ 
                                                                                                                                        FOR OFFICE USE ONLY

SELLERʼ S LEGAL NAME                                                        PETITIONERʼ S LEGAL NAME   (CONSUMER-PURCHASER) 

SELLERʼ S ACCOUNT NUMBER                                                    ACCOUNT NUMBER AND FEIN (IF ANY)                        TELEPHONE NUMBER 

SELLERʼ S FEIN                                                              PETITIONERʼ S SIGNATURE / TITLE*PLEASE SEE NOTE BELOW. 

                                                                            PRINT PETITIONERʼS NAME 

                                                                            MAILING ADDRESS 

                                                                            CITY                                                                         STATE                                     ZIP CODE

* NOTE:  Must be signed by an Officer, Member, Owner, Partner or Legal Representative.

                                                                      (Instructions on Page 2) 
                                                                             Page 1 of 2

                                                        AlABAmA DEPARTmEnT of   REvEnuE 
                                                                SAlES AnD                   u SET             Ax DIvISIon 
                                                                             ADmInISTRATIon SEcTIon 
                                                          Filing The Proper Petition 

There are tw o types   petitiof                         ons- Direc t Petiti          on n a d Petiti             on fo  r Re        fun ofd   Ta esx Paid t  Seo er.ll A Dire t              c
Petition fo         r Re  fund (fo m r : ST-5)                  may be  if l ed                     for ta x paid          directly to the Alabama                     Department of 
Revenue. A Petiti                    on fo  r Refun ofd   Ta esx Paid t  Seo er (fll                      r : ST-6) o m    ay be m i ed by thef l                          consumer/pur-
chaser wh o paid the ta                       x directly to the seller                 . listed belo w are the ta esx ad i isteredm n                         by the Sa es a dl            n
use Ta x Div isi          on n a d the pr pero            petiti             on o f l fo t   i e  r ea h.c
 
         Type of Tax                                                           Petition Form Required                            Signatures Required 
           State, city, o r county Sal es Tax .........  Petiti                   on fo  r Re       fun ofd   Ta esx Paid t  Seo    erll (ST-6)*...................  P r haser u c
           State, city, o r county Sell ers use Tax ...  Petiti                   on fo  r Re       fun ofd   Ta esx Paid t  Seo    erll (ST-6)*...................  P r haser u c
           lo dgin gs Ta ............................ x Petiti                    on fo  r Re       fun ofd   Ta esx Paid t  Seo    erll (ST-6)*...................  P r haser u c
           util ity Tax ................................  Petiti                  on fo  r Re       fun ofd   Ta esx Paid t  Seo    erll (ST-6)*...................  P r haser u c
           cellular Serv c i es Ta .................... x Petiti                  on fo  r Re       fun ofd   Ta esx Paid t  Seo    erll (ST-6)*...................  P r haser u c
           contrac o t rs Gr sso Re eiptsc      Ta .........................  x Dire t (ST-5)  .......................................  c    c                                 ontrac ot r 
           Direc t Pay Perm its ......................................   Dire t (ST-5)  ...................................  c      Per it H der                             m     ol
           State, city, o r county con ums                ers use Tax .............   Dire t (ST-5) c         ...........................   c                        on ums er-Pu cr haser 
           Ren l o ta   r leasi gn Ta ...................................  x Dire t (ST-5)  ............................................c   less r                                    o
           nu rsin g fa ic l ity Ta .....................................  x Dire t (ST-5)  ................................... c   care Pr                                     ovider 
           Pharm c u c l a e ti a  Provider Tax ...........................   Dire t (ST-5)  ......................................... c     Pr                                   ovider 
 
*A  Direct Petition fo  r Re           fund (fo m r : ST-5)  aym be  i edf l by the                           seller i f the sell er re ittedm       i  en xc ess   theof ta  d e, bx u t   u
n ve er    coll ce ted the ta  x f omr         the        con ums er/pu c r haser,  ro f i  the se erll has pre i                   v ou ls y re     funded, c redited, or repaid the 
ta x direc l t y t o the  con ums       er/pu c r haser. The se erll                must docum ne t these f c a ts i n either  ase. c
 
                                                                             Required Signatures 
 
The petition mu           st bear the sign u at re   theof        party i            nvolved. I f a petiti                oner is a n n v u l i di id a , the i di idn v u l mua      st sign. 
I f a petiti  oner is a partn ership  r o l m i ited  iabil                  ityl part ership,n        a part er      n       must sign f . I  a petiti       oner is a      co orp ration, a n
off ci er  of the  rpco o rati       on mu      st sign f . I  a petiti         oner is a l m i ited  iabil          ityl  compan y, a  em m ber              must sign f . I  a petiti    oner 
is a represen tati e  v of the ta payer,x          the A abal a Departm                e t   Rem n of e              v nue’s        off c l oi ia  P wer   Attof r eyo n (PoA)  r  isfo m
required. 
 
                                                                                  Documentation 
 
Your petiti       on mu     st be d    ocum ne ted. The petiti                    oner sh           ould attac h i    nvo ci es, re eipts, c       hec kc copies, acc u l r a  re rds,co
copies  of ret ru n s, a d  thern o d           ocum ne tati         on o t  the petiti                on uff c n s i ie t t  pro   ovide a n u a dit trai . n l         reo   funds wi llbe 
issu ed     unless pro per d          ocum ne tati        on is attached. 
 
                                                          Mail OR Email Completed Petition To: 
                                                                     Al abam a Depart em n of t   Re e                 v nue 
                                                              Sal es an d use Ta x Di isiv                on – Refund Sec onti                 
                                                                                     P.o. Box 327710 
                                                                             mon omtg        ery, Al 36132-7710 
                                                                             Tel eph       one:  (334) 242-1490 
                                                                                                        
                                                          Em l ai : STRe          fundSec onti          @rev nue     e.al abam a.g           ov      

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