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Refund Application
Instructions
Complete the first seven lines of the
Claim for Refund of Taxes Paid
 form
with the taxpayer's name, address, and contact information as indicated.
Tax Account Number: This is the number issued to identify
your business. You will find your account number on your monthly sales/use tax
report form.
Type of Tax: Select one of the following:
- Sales Tax
- Use Tax
- Hotel-Motel Tax
- Enterprise Zone
- Occupational License Tax
Period: Indicate the tax period or periods during which an
overpayment occurred, such as "December 2000" or "January through December
2000."
1. Taxes Remitted: Enter the total taxes remitted as
reflected on your monthly sales/use tax return(s) filed for the tax period(s) in question.
2. Taxes Due, as Amended: Enter the amount that
should have been paid to the Revenue Division for the tax period(s) in question, as
opposed to the amount that was actually remitted. For example, your December 2000
return reflects that you paid $100. After discovering your error, you have
calculated that only $75 should have been paid. Enter the $75 on this line.
3. Refund Requested: The difference between what you
actually paid and what you should have paid. In the example above, you would enter
the difference between the $100 paid and the $75 that you should have paid. Enter
the $25 difference on this line.
Reason for Requesting a Refund: Explain why you are requesting a
refund. If you need additional space, please attach an additional sheet or
letter of explanation.
NOTE: Any
"Claim for Credit or Refund of Taxes Paid" form on which a taxpayer is claiming a refund of
$1,500 or more must be notarized.
Sign the completed form and forward to :
City of Baton Rouge - Parish of East Baton Rouge
Department of Finance/Revenue Division
P. O. Box 2590
Baton Rouge, Louisiana 70821-2590
ATTN: Tiffani Delapasse, Revenue Auditor
Any "Claim for Credit or Refund of
Taxes Paid" form submitted without the appropriate
signatures will result in your claim being delayed until such
time that the required signatures are obtained.
If you have additional questions concerning the form, please contact Tiffani
Delapasse at (225) 389-3084, ext. 727.
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