12:77:03:01. Form of claim for refund. A claim for refund shall contain the following information:
(1) Claimant's name;
(2) His state of residence;
(3) His post office address;
(4) The claim period;
(5) Number of cows milked;
(6) Products sold;
(7) Date of sales;
(8) Names of buyers;
(9) Gross value of sale;
(10) Amount of American Dairy Association deduction;
(11) Total value of product sold;
(12) Total assessment deducted;
(13) Amount of refund claimed;
(14) A perjury statement;
(15) The date of application; and
(16) The claimant's signature in ink.
Source: SL 1975, ch 16, § 1; 12 SDR 128, 12 SDR 154, effective July 1, 1986.
General Authority:SDCL 40-31-6.
Law Implemented:SDCL 40-31-17.
