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A 3730‐  UEZ‐   (Rev.   10/12)                                                                                                                       ‐      1‐ 
                                                                     INSTRUCTIONS 
                                                                                    
SECTION ONE            TAXPAYER INFORMATION                          
 
Please provide the      following   information:          
1.    Taxpayer Business Name.              
2.    Taxpayer’s New Jersey         or   Federal Identification    number      of business    entity,   or if a sole       proprietorship enter the              
      Social Security   Number      of   the owner.   This  shall include  the nine      (9) digits,           and the three      (3) suffix numbers        . 
      An example:    111   222‐  333/‐       000. 
3.    This box is   for Division of Taxation     use.        
4.    Taxpayer’s Mailing Address.               All correspondence related         to   this claim   and payment        will be mailed    to the          
      attention   of the individual       listed and  to the   address   entered.             
5.    UEZ Permit    Number.      Enter   the permit   number(s)     assigned    to your   business      by the Urban       Enterprise   Zone               
      Authority   to certify your      participation   in the   Urban  Enterprise     Zone   program.               
6.    Period for which     claim    is made.   Enter  the beginning    and ending      dates for   which   claim    is filed.              
7.    Total Refund Requested:            Enter  the total of the   Sales & Use   Tax being   claimed     for refund.    This  line must   contain   an                
      accurate amount, not          an estimated    figure,  and   equal the “Total      Refund  Requested”        on the spreadsheet        (UEZ 3730       ‐      ‐
      UEZ 1).‐   
 
SECTION TWO            METHOD OF            SUBMISSION               
  
METHOD OF SUBMISSION                   – The taxpayer  shall indicate    which  one    of the   two available    methods      relates   to this claim             
submission: 
 
      Method #1      ‐ Indicates the detailed       spreadsheet      (A  ‐ 3730 UEZ‐ 1) is submitted‐    in electronic     form on    a compact                 
      disc for  claims  with 25  or more     transactions.          
       
      Method #2      ‐ Indicates   a Manual spreadsheet            (A  ‐ 3730 UEZ‐ 1) is submitted‐    for the  electronic    spreadsheet      for claims            
      with less than    25 transactions.         
 
SECTION THREE              AFFIRMATION, SIGNATURE,                      TITLE  DATE,        and TELEPHONE              CONTACT         NUMBER                   
 
8.    SIGNATURE –   
      When the taxpayer      is     a corporation the    claim  must include    the corporate        name followed         by the signature    and title            
      of the officer having  the    authority    to sign   for the corporation.     In the case    of a partnership,     either partner    can  sign.                
      For a   sole proprietorship      the owner    will sign.  If submitted    by a representative      holding an Appointment            of Taxpayer                
      Representative, the representative            may    sign the claim     form  and attach     the fully  completed       and executed                
      Appointment   of Taxpayer Representative               form  as   explained below.              
 
APPOINTMENT OF TAXPAYER                REPRESENTATIVE          –    
Whenever   a claim is   executed by   an agent      on behalf   of the   taxpayer   or when   the taxpayer       desires to be represented                        
before the Division     by   someone other      than  the taxpayer,    a completed       and signed     Appointment        of Taxpayer                 
Representative (M 5008‐      R)‐  must accompany         the refund  claim     form. This form     may   be obtained       from the Division’s                  
website at: http://www.state.nj.us/treasury/taxation/pdf/other_forms/misc/m5008r.pdf.                                          
 
9.    PRINTED   – NAME and       TITLE    OF INDIVIDUAL      SIGNING     –         
      This   is required should     the  Division  need   to contact   a responsible     party as    part   of the examination     process.                 
 
10. DATE OF SIGNATURE        – Enter     the date  of signature.               
 
11. TELEPHONE # To   ‐ be used      by the   Division should additional       information     be necessary.                     
 
12. E MAIL‐ ADDRESS     – This   is required   when the    taxpayer  has e mail    capabilities  ‐  and may be      used   should   the Division                    
      need to   request documentation           of   the taxpayer.  To ensure   contact,      provide    also the   name   of the individual     to            
      whom this e  ‐ mail is to     be directed.       



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 A 3730‐  UEZ‐ (Rev.      10/12)                                                                                                                          ‐    2‐ 
  
 MAILING ADDRESS    FOR FILING                        OF CLAIM      FORM              
  
 (by US Postal    Service)       ‐                     NJ Division of   Taxation, Sales         Tax    Refund    Section                                   
                                                       P.O. BOX    289,    Trenton,   NJ   08695 0289.‐              
 
(by Package Delivery        Service)         ‐         NJ Division of   Taxation, Sales         Tax    Refund    Section                                   
                                                                                                                                    rd
                                                       Quakerbridge Plaza          Office    Complex,       Building   9 –     3 Floor          
                                                       3444 Quakerbridge           Road,     Mercerville,      NJ   08619.        
  
 DOCUMENTATION OF REFUND                            CLAIM           
  
 Documentation to be        remitted      with  this   claim   consists    of, but is not   limited to:            
             Spreadsheet with detail of   claimed purchases                 (see details    below):         
                   o    Spreadsheet  ‐ A 3730 UEZ‐        1 prepared‐     and submitted:                
                                  On CD     (compact       disc)  using   an electronic     spreadsheet      which   is compatible      with Excel  (.xls) or        
                                  Manually prepared (for                those  claims    with 25 or less   transactions).           
                   o    Provide the required           information       for each transaction      in the   format  shown.             
                   o    List each transaction          included   in   determining the       amount     of tax   requested for refund.               
                   o    Be prepared and       presented         in   the specified column     arrangement        (see spreadsheet        layout for           
                        arrangement   to be used).         The  refund     claim  spreadsheet       (A 3730  ‐ UEZ 1)‐ is available‐    on the Division’s            
                        website. 
                    
Documentation   to be submitted             with    claims     requesting    a refund     of Use   Tax paid on or after    April 1, 2011:              
             Use Tax Accrual   Schedule          detailed and sorted           by   date of Use   Tax remitted   to the   Division with the   following:           
                   o    Indication   of each invoice        included     in determining      the Use Tax    remitted   for each     filing (UZ 50, UZ 50X,‐     ‐     
                        ST 50,‐ ST  ‐ 51, ST  ‐ 18, ST 18B)  ‐ providing  at a minimum:                  
                                  Name   of the seller.           
                                  Invoice number.              
                                  Invoice date.         
                                  Amount subject to   Use Tax.                   
                                  Amount   of Use Tax          determined        due for the invoice.            
                                  Payment date of   Use Tax.                
                               
NOTE:      As of April 1,   2011, UEZ businesses       that    did not   qualify  for the  point   of purchase‐ ‐ exemption      no longer have     to             
self‐ assess Use   Tax for UEZ  eligible    exempt     purchases         from out of State‐ ‐ sellers where    tax was not   collected     or where tax                
was collected at     a lesser rate than   New       Jersey.          See Notice   – Urban Enterprise         Zones   Refund      Procedures    (Revised),       
2/10/12. 
 
                                                       RETENTION OF RECORDS               &   DOCUMENTATION
                                                                                       
Documentation   of transactions claimed                for  refund            – Pursuant to   Section Three      (Affirmation)   the taxpayer      has         
agreed   to retain for  a period   of no   less than    4 years   and to make        available upon request      to the Division    of Taxation    the               
 documentation   to support all   transactions claimed               for refund.           
 
 Documentation to be          Retained and provided when                 requested    by   the Division    of Taxation    consists   of        
 but is   not limited to:   
      
             Sales Invoices:    
                   o    A sales invoice     must    be:     
                                  A readable          copy of   each invoice     included   or requested.            
                                  Invoice must indicate:              
                                                   Name   of UEZ business        making     the   purchase.        
                                                   Name   of seller.      
                                                   Invoice number.         
                                                   Date of   Sale.   
                                                   Description   of the transaction         as     to property, number   of units,   or service   performed.          



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A 3730‐ UEZ‐    (Rev.  10/12)                                                                                                                           ‐      3‐ 
 
                                                  Separately stated New             Jersey sales   tax.     
                                                  Amount   of the invoice          excluding    the Sales  Tax.       
                                                  Shipped to   address or   location when           service   was performed.               
                                       For cash transactions           the register tape      should   identify  the  property   and/or     service   being        
                                        purchased, location of   the seller,         transaction    date   and separately    state the Sales   Tax.           
           Proof of   Payment:           
            Proof of   payment of   Sales Tax      or Use   Tax must       be furnished    for each   invoice  submitted.                   
 
           Sales Tax    ‐ Proof   of Payment              
                 o     Cancelled checks (copy)                 
                 o     Imaged checks           (copy)       
                 o     When cancelled checks                are not  returned    by your   financial    institution           ‐ ‐ provide   a copy of   your   
                       disbursement for this              invoice and   a copy   of the   monthly    account   statement     from the    financial            
                       institution where          this    payment     was  made.         
                 o     Electronic Funds Transfer              is   verifiable with   a copy   of your   monthly  financial   institution    statement.              
     
      When payment to     a seller is for   several         invoices   there   must be documentation           furnished     which clearly                 
      indicates the    invoices     included      with     the particular    payment     to enable   verification    that the  invoice    claimed   for            
      refund has been         paid in   full including     the Sales  Tax.           
     
      When proof of   payment is documented                    by a     means other  than a   copy   of the cancelled    check, an audit trail                  
      from the purchase         invoice,     to   the payment     transaction,      and to  the   payment   on the financial      institution                  
      statement must be         provided.        The    method    of cross   referencing    between      the purchase    invoice and payment                     
      by your   financial     institution    must     be explained.           
     
           Use Tax        – Proof of   Payment           
             A refund claim     submitted      with     Use  Tax  assessed     and remitted      must be accompanied         by a Use     Tax Accrual              
            Schedule indicating          each  invoice     included    in determining      the Use Tax     remitted   for each    filing (UZ 50, UZ 50X,‐      ‐      
            ST 50,‐ ST  ‐ 51, ST  ‐ 18, and ST 18B).  ‐ This should    include at a minimum      the name of     the  seller,   invoice  number,                     
            invoice date, and      amount        subject    to Use   Tax, the amount     of Use   Tax determined       due for the  invoice,   and   the              
            date that  Use    Tax  was    paid.        
             
When requested to   submit Proof             of Payment,       should     the taxpayer   have questions        concerning    the cross   referencing,               
please contact the     Sales    Tax Refunds       UEZ‐ Unit,   using   one of  the   methods     listed in the publication    booklet.                  
 
NOTE:      As of April 1,   2011, UEZ     businesses       that did not   qualify   for the point  of purchase‐ ‐ exemption       no longer have     to              
self‐ assess Use Tax   for    UEZ eligible   exempt       purchases     from out of State‐ ‐ sellers where     tax was not   collected      or where tax               
was collected at     a lesser rate  than     New   Jersey.             See Notice   – Urban Enterprise         Zones  Refund    Procedures     (Revised),         
2/10/12. 
 
STATUTE OF LIMITATIONS                   
 
Transactions prior to   April 1,   2011            
The statute of   limitations for        filing a claim    for refund   is one   (1) year from  the:             
           For purchases,      the     date of   the invoice     or invoice   payment    date, whichever      is later.           
           Date withdrawn         from     manufactured          inventory    for  use.       
 
Transactions on or   after April        1, 2011          
The statute of   limitations for        filing a claim    for refund   is one   (1) year from  the  date the tax  is paid.                     
           Applies   to any sales   or use tax         paid  in connection    with     the UEZ  purchase      exemption.               
           Includes payments made               to   satisfy audit  assessments.            
 
Example:    A UEZ taxpayer       that    pays  an audit    assessment      on or after     April 1, 2011 for   taxes that  should  have    been paid                  
between 7/15/06 and           3/31/11      has one    (1) year    from the date     of the payment      of the tax   assessed  to file for a   refund.               
 
The postmark date      will   determine        if the   A 3730  ‐ UEZ refund‐  claim was    submitted      within the  statue   of limitations.                 
 



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