Form 911 REF "Application for Wireless 911 Charges Refund" - Ohio

What Is Form 911 REF?

This is a legal form that was released by the Ohio Department of Taxation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2017;
  • The latest edition provided by the Ohio Department of Taxation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 911 REF by clicking the link below or browse more documents and templates provided by the Ohio Department of Taxation.

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Download Form 911 REF "Application for Wireless 911 Charges Refund" - Ohio

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Rev. 3/17
911 REF
Application for Wireless
P.O. Box 530
911 Charges Refund
Columbus, OH 43216-0530
Wireless 911 charges account #
FEIN/SSN
Use only UPPERCASE letters.
Name of applicant
Street address (number and street)
City
State
ZIP code
Telephone
Fax
E-mail
Time period covered by the refund request (MM/DD/YY)
to (MM/DD/YY)
$
Total amount of refund claimed
State full and complete reasons for the above claim. You may attach additional sheets and/or supporting documentation.
Note: This application must be fi led within four years from the date of the erroneous payment of the tax.
SIGN HERE (REQUIRED)
I declare under penalty of perjury that I am the account holder or the account holder’s authorized agent having knowledge of the relevant
facts in this matter to fi le this refund application.
Signature
Date (MM/DD/YY)
Name
Title
Representative: The account holder will be represented in the matter by the following individual. Please attach a Declaration of Tax
Representative (Ohio TBOR 1), which can be found on the department’s Web site at tax.ohio.gov.
First name
M.I.
Last name
Title
Telephone
E-mail
Please send this application to: Ohio Department of Taxation,
Business Tax Division – Wireless 911 REF, P.O. Box 530 Columbus, OH 43216-0530.
*This form is created pursuant to Ohio Revised Code section 128.47.
Reset Form
Rev. 3/17
911 REF
Application for Wireless
P.O. Box 530
911 Charges Refund
Columbus, OH 43216-0530
Wireless 911 charges account #
FEIN/SSN
Use only UPPERCASE letters.
Name of applicant
Street address (number and street)
City
State
ZIP code
Telephone
Fax
E-mail
Time period covered by the refund request (MM/DD/YY)
to (MM/DD/YY)
$
Total amount of refund claimed
State full and complete reasons for the above claim. You may attach additional sheets and/or supporting documentation.
Note: This application must be fi led within four years from the date of the erroneous payment of the tax.
SIGN HERE (REQUIRED)
I declare under penalty of perjury that I am the account holder or the account holder’s authorized agent having knowledge of the relevant
facts in this matter to fi le this refund application.
Signature
Date (MM/DD/YY)
Name
Title
Representative: The account holder will be represented in the matter by the following individual. Please attach a Declaration of Tax
Representative (Ohio TBOR 1), which can be found on the department’s Web site at tax.ohio.gov.
First name
M.I.
Last name
Title
Telephone
E-mail
Please send this application to: Ohio Department of Taxation,
Business Tax Division – Wireless 911 REF, P.O. Box 530 Columbus, OH 43216-0530.
*This form is created pursuant to Ohio Revised Code section 128.47.
911 REF
Rev. 3/17
Instructions and Pertinent Law Sections
To the extent that a refund is granted on this application, either
tax commissioner shall refund that amount to the provider,
in whole or in part, the Department of Taxation will calculate
reseller, or seller.
and include the appropriate amount of interest in the refund
(C)
payment made to the applicant. The applicant should not
include such interest in the “total amount of refund claimed.”
(1) The tax commissioner may refund to a subscriber or
consumer wireless 9-1-1 charges paid illegally or erroneously
Wireless 911 charge refunds are governed by Ohio Revised
to a provider, reseller, or seller only if both of the following
Code section 128.47, which provides in pertinent part as
apply:
follows:
(a) The tax commissioner has not refunded the wireless 9-1-1
Beginning January 1, 2014:
charges to the provider, reseller, or seller.
(A) A wireless service provider, reseller, seller, wireless
(b) The provider, reseller, or seller has not refunded the
service subscriber, or consumer of a prepaid wireless calling
wireless 9-1-1 charges to the subscriber or consumer.
service may apply to the tax commissioner for a refund
of wireless 9-1-1 charges described in division (B) of this
(2) The tax commissioner may require the subscriber or
section. The application shall be made on the form prescribed
consumer to obtain from the provider, reseller, or seller a
by the tax commissioner. The application shall be made not
written statement confi rming that the provider, reseller, or
later than four years after the date of the illegal or erroneous
seller has not refunded the wireless 9-1-1 charges to the
payment of the wireless 9-1-1 charge by the subscriber or
subscriber or consumer and that the provider, reseller, or
consumer, unless the wireless service provider, reseller,
seller has not fi led an application for a refund under this
or seller waives the time limitation under division (A)(3) of
section. The tax commissioner may also require the provider,
section 128.462 of the Revised Code. If the time limitation is
reseller, or seller to provide this statement.
waived, the refund application period shall be extended for
the same period as the waiver.
(D) On the fi ling of an application for a refund under this
section, the tax commissioner shall determine the amount
(B)
of refund to which the applicant is entitled. If the amount is
not less than that claimed, the commissioner shall certify
(1) If a wireless service provider, reseller, or seller refunds
the determined amount to the director of budget and
to a subscriber or consumer the full amount of wireless 9-1-
management and the treasurer of state for payment from
1 charges that the subscriber or consumer paid illegally or
the tax refund fund created under section 5703.052 of the
erroneously, and if the provider, reseller, or seller remitted
Revised Code. If the amount is less than that claimed, the
that amount under section 128.46 of the Revised Code, the
commissioner shall proceed in accordance with section
tax commissioner shall refund that amount to the provider,
5703.70 of the Revised Code.
reseller, or seller.
(E) Refunds granted under this section shall include interest
(2) If a wireless service provider, reseller, or seller has illegally
as provided by section 5739.132 of the Revised Code.
or erroneously billed a subscriber or charged a consumer
for a wireless 9-1-1 charge, and if the provider, reseller, or
Added by 130th General Assembly File No. 25, HB 59,
seller has not collected the charge but has remitted that
§101.01, eff. 9/29/2013.
amount under section 128.46 of the Revised Code, the
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