Utah State Tax Commission                                                                                                                     TC-62N
Sales Tax Refund Request for Religious or Charitable Organizations                                                                            Rev. 9/07
                                                                                                                                        tax.utah.gov
General  Information
The sales tax exemption for purchases made by religious or charitable            Do not attach receipts to the refund coupon. Receipts and other original 
institutions is allowed in the following manner:                                 supporting records must be kept for three years following the date of refund.
  1.  The exemption is taken at the point of purchase if the purchase is         Refund requests must be filed within three years of the date of purchase, 
 $1,000 or more.                                                                 pursuant to Utah Code §59-12-110.
  2.  If the purchase is less than $1,000, the exemption is taken by claiming    If the information on the coupon is wrong, please correct any errors or make 
 a refund from the Tax Commission.                                               changes on the change form in the back of the coupon booklet.
  3.  If the sale is made by a public utility to a religious or charitable       Please file the original coupon.
 institution, the exemption must be taken at the point of purchase.
  4.  If a contract exists between the seller and the religious or charitable          ____________________
 institution, the exemption may be taken at the point of purchase 
 regardless of the dollar amount of the sale.                                    See tax.utah.gov for more information and access to forms, publications and 
                                                                                 online services. E-mail questions to taxmaster@utah.gov. You may also write 
Instructions for TC-62N                                                          or visit the Tax Commission at 210 N 1950 W, Salt Lake City, UT 84134-3212, 
                                                                                 or call 801-297-2200 or 1-800-662-4335 (toll free).
Institutions are issued 12 refund coupons per year. Coupons may be filed on 
a monthly basis. Any coupons not used during the year should be discarded.       If you need an accommodation under the Americans with Disabilities Act, 
                                                                                 email taxada@utah.gov, or call 801- 297-3811 or TDD 297-2020. Please 
Add the Utah sales tax paid that qualifies for the refund and write the total in allow three working days for a response.
the box marked Refund Amount.

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 Print Form
                             original ustc form
TC-62N     Rev. 10/15                                                                  Utah Sales Tax Refund Request – TC-62N
 TC-62PCM Rev. 7/07Tax Type        Sales and Use Account ID                            Tax Period
                                                                                                                                                                      S
 STC-RC
Start below this line – enter the business name.                                                                                                                      C
                                                                                                                                                                      O
                                                                                     Refund Amount:

                                                                                       I declare under penalty of perjury that to the best of my knowledge and belief 
                                                                                       this information is correct and complete.
 UTAH STATE TAX COMMISSION
 SALES TAX REFUND REQUEST
                                                                                       Authorized signature
 210 N 1950 W
 SLC UT  84134-3212                                                                    Date                              Telephone

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