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gov revenue formsandresources forms VAC%20Rev%204-20-05

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Montana Department of Revenue provides a credit form for retailers to request an adjustment for defective merchandise, transportation damage or shortages. The one-page form requests the store number, city, date, signature, invoice details including number, item description, quantity and adjustment code, and spaces for office approval and application of credits.

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Montana Department of Revenue Dan Bucks Brian Schweitzer Governor Director CREDIT FORM FOR DEFECTIVE MERCHANDISE/TRANSPORTATION BREAKAGE/SHORTAGE Store #: City: Date: Signature: NOTE: Please fax completed form to (800) 332-6135, Option 3-1 Invoice Qty Adj Rec’d On NABCA Number Item Description (Units) Code OFFICE USE ONLY: Total Units Approved by: Date: Invoice Applied to: _________ White and Canary copy to Central Office, Pink copy retained by Agent Customer Service (406) 444-6900 TDD (406) 444-2830 www.mt.gov/revenue

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  • 1. Montana Department of Revenue Dan Bucks Brian Schweitzer Governor Director CREDIT FORM FOR DEFECTIVE MERCHANDISE/TRANSPORTATION BREAKAGE/SHORTAGE Store #: City: Date: Signature: NOTE: Please fax completed form to (800) 332-6135, Option 3-1 Invoice Qty Adj Rec’d On NABCA Number Item Description (Units) Code OFFICE USE ONLY: Total Units Approved by: Date: Invoice Applied to: _________ White and Canary copy to Central Office, Pink copy retained by Agent Customer Service (406) 444-6900 TDD (406) 444-2830 www.mt.gov/revenue