![]() Enlarge image | Vermont Department of Taxes PO Box 547 Montpelier, VT 05601-0547 Phone: (802) 828-2551 *166201100* VT Form Application for Refund of *166201100* VT Sales and Use Tax or Page 2 REF-620 Meals and Rooms Tax Business Name Telephone Number Address Vermont Business Account Number City State ZIP Code Period Covered by Claim (mm/dd/yyyy - mm/dd/yyyy) - - Foreign Country (if not United States) E-mail Address Name of Representative (if any) Telephone Number Address City State ZIP Code - E-mail Address Refund Amount . . . . . . .$ __________________ .____ Give a full explanation below (see instructions). Use additional sheets if necessary and submit all documents needed to properly substantiate your claim. I, the claimant named above, or partner, officer, or other authorized representative of such claimant, make application for refund of Sales and Use tax or Meals and Rooms tax pursuant to 32 V.S.A. § 9781 (SU), and § 9245 (MR). I certify all Vermont Sales and Use taxes or Meals and Rooms taxes for which this claim is filed, have been paid, and no portion of the tax has been refunded or credited to me by any vendor. Signature of Responsible Officer Date Daytime telephone May the Dept. of Taxes discuss this number (optional) return with the preparer shown? ( ) Yes No Printed name E-mail address (optional) Preparer’s Date Check if self-employed signature Paid Preparer’s Preparer’s Social printed name Security No. or PTIN Preparer’s Firm’s name (or yours if self-employed) and address Use Only EIN Preparer’s Telephone Number Preparer’s e-mail address (optional) ( ) Form REF-620 (formerly SMWA-1) 5454 Rev. 04/16 Clear ALL fields Save and go to Important Printing Instructions Save and Print |