This form is for use by taxpayers to obtain an overpayment of the combined general rate of sales and/or use tax on the gross receipts derived from:

  • providing telecommunications service and ancillary service.
  • providing video programming to a subscriber in this State.
  • the sale of spirituous liquor other than mixed beverages.
  • the sale of electricity and piped natural gas.
  • the sale of aviation gasoline and jet fuel (for periods beginning on or after January 1, 2016).
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