Purchasing Card Duplicate Tax Form

By using this form, you certify that a duplicate tax was assessed on a purchase already taxed by the vendor.

The DaFIS Feed Payment Distribution (FPD) document with the duplicate tax can be processed at any time:

If the expense is moved to a new account, Accounts Payable (AP) will credit the new account
If the expense is not transferred and/or the FPD is not processed, AP will credit the original account

note: This form is not to be used if the vendor overcharged sales tax. For that you must contact the vendor for resolution.

* = required field.

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This site is a service of Accounting & Financial Services, Materiel Management division. Questions? Contact us.

Contact Name:*
E-mail:*
Phone Number:*

DaFIS FPD Document Number:*
Was this a Taxable Item?:*	Yes No
Amount of Duplicate Tax:*

Additional Information: