INSTRUCTIONS: WASHINGTON BUYER'S DECLARATION FOR REFUND OF RETAIL SALES TAX (Form 41 0104)

When a Washington buyer has paid retail sales tax in error, such as on an exempt transaction, they must first attempt to seek out a refund from the retailer. If they are unable to receive a refund in this fashion, they may file a form 41 0104 with the State of Washington Department of Revenue to seek a refund. This document is found on their website.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 1: On the first line, give the name of the buyer and their tax registration number.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 2: On the second line, give the name of the seller and their tax registration number.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 3: On the third line, give the complete address of the seller.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 4: On the table below, document all applicable transactions. In the first column, give the date of the sale.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 5: In the second column, give the associated invoice number.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 6: In the third column, give the sales price before tax.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 7: In the fourth column, give the amount of sales tax paid.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 8: In the fifth column, give the 4-digit state code for the location of the sale. This information is provided at a URL given in the instructions.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 9: In the last column, give a description of the items in question.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 10: Indicate with a check mark whether you were unable to obtain a refund from the retailer because they could not be located, because the seller no longer exists, or because they refused to sign a seller's declaration regarding a refund.

Washington Buyer's Declaration For Refund Of Retail Sales Tax 41 0104 Step 11: Sign and date the form. Print your name and title.