GOVERNMENT OF THE DISTRICT OF COLUMBIA                             OFFICIAL USE
     OFFICE OF TAX AND REVENUE

FP-331                                      CLAIM FOR REFUND
Year 201____                                SALES AND USE TAX

NAME OF TAXPAYER

TRADE NAME                                                      FEDERAL EMPLOYER IDENTIFICATION NO.            SSN

STREET ADDRESS

CITY                           STATE        ZIP CODE PHONE #                    FAX #

NOTE: FOR TAX PAID ON MORE THAN ONE RETURN, LIST EACH ON A SEPARATE LINE

PERIOD         TOTAL TAX      DATE OF         AMOUNT OF                 EXPLANATION OF OVERPAYMENT
ENDED           PAID          PAYMENT       REFUND CLAIMED

             $                ŸTOTAL⁄       $                   (FOR ADDITIONAL SPACE, USE OTHER SIDE)
       Under penalties of law the duly authorized applicant(s) do solemnly swear or affirm that the foregoing
       statements are correct to the best of my (our) knowledge.
AUTHORIZED SIGNATURE                                            TITLE                     DATE

                                                                        OFFICIAL USE

                                                                        INITIAL      DATE                    AMOUNT

                                                                APPROVED

                                                                DENIED

                                     FP-331 Instructions

Sales and Use Tax

Section 47-2020(a) of the DC Sales Tax Act allows a refund of tax erroneously or illegally collected if a claim is filed 
within three years from the date you paid the tax. If the tax has been collected from the customer, it must be refunded 
by the seller to the customer in cash or credit before the vendor can apply for a refund.

Attach your evidence to support the claim for refund.  Include copies of original invoices, Certificates of Resale (OTR-
368), Qualified High Technology Company Exempt Purchase Certificates (FP-337), tax exemption numbers of semipublic 
institutions, credit memos for returned sales or taxes refunded to customers and any other related documents.

Mail the claim to:

Office of Tax and Revenue
Audit Division
PO Box 556
Washington, DC 20044-0556

Questions? Call us at (202) 727-4829.