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2. Wheat Ridge Account Number*

   The Wheat Ridge account number appears on the city business/tax license or on a copy of a return form mailed to you by the city. You may also call (303) 235-2820 to request assistance in determining your account number.

4. Business or Claimant's name*

   Please provide the name of the business needing a refund or First and Last name of the individual.

6. Address1*
8. Address2
10. City*
11. State*
12. Zip*
14. Type of Refund*

    1. Sales Tax
    2. Building Use Tax
    3. Lodging Tax
    4. License Fee
16. Amount of refund requested*
18. Explanation of Claim*

    Please provide a detailed description of the refund claim including the period of the original overpayment.

20. Name of the person completing this form *

    Please type first and last name

22. Individual's title or relationship to claimant
24. Email Address*
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

* indicates a required field