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Local Tax Rebate Claim Form ET- 179A

LocalTaxRebateClaimForm.pdf

Form Instructions

INSTRUCTIONS: ARKANSAS CLAIM FOR LOCAL TAX REBATE (Form ET-179A)

Qualifying Arkansas businesses may be able to claim a refund or rebate on qualifying business purchases exceeding $2,500 on a purchase invoice. This is done by filing a form ET-179A, which can be obtained from the website of the Arkansas Department of Finance and Administration.

Arkansas Claim For Local Tax Rebate ET-179A Step 1: In the first unnumbered box, enter your sales tax permit number.

Arkansas Claim For Local Tax Rebate ET-179A Step 2: Enter your company number in box 1 and your federal employer identification number in box 2.

Arkansas Claim For Local Tax Rebate ET-179A Step 3: Enter your mailing street address in box 3, your city in box 4, your state in box 5 and your zip code in box 6.

Arkansas Claim For Local Tax Rebate ET-179A Step 4: Enter the owner's name in box 7, the NAICS code of business in box 8, and the type of ownership in box 9.

Arkansas Claim For Local Tax Rebate ET-179A Step 5: Enter your location address in box 10.

Arkansas Claim For Local Tax Rebate ET-179A Step 6: Enter your location city in box 11, state in box 12 and zip code in box 13.

Arkansas Claim For Local Tax Rebate ET-179A Step 7: Enter a contact name in box 14 and a contact phone number in box 15.

Arkansas Claim For Local Tax Rebate ET-179A Step 8: The next section requires you to provide information from all invoices on which you are claiming a rebate. Enter the invoice number in column 16.

Arkansas Claim For Local Tax Rebate ET-179A Step 9: Enter the invoice date in column 17.

Arkansas Claim For Local Tax Rebate ET-179A Step 10: Enter the city or country where the purchase was made or where it was delivered or shipped from in column 18.

Arkansas Claim For Local Tax Rebate ET-179A Step 11: Enter the city or county tax code in column 19.

Arkansas Claim For Local Tax Rebate ET-179A Step 12: Enter the total invoice amount in column 20.

Arkansas Claim For Local Tax Rebate ET-179A Step 13: Subtract the value written in column 21 from column 20. Enter the difference in column 22.

Arkansas Claim For Local Tax Rebate ET-179A Step 14: Complete sections 23 through 27 as instructed.

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