Business name
Minnesota Tax ID number
Mailing address
Period covered by this request
From Through
City State ZIP code
Main business address in Minnesota (if dierent from above)
City State ZIP code
Name of person to contact about this request Title Phone Email
ST11-MPA
Sales and Use Tax Mulple Period Amended Return
(6/20)
Send us Form ST11-MPA, your worksheet(s), and supporng documents:
Mail: Minnesota Department of Revenue
525 Lake Avenue South, Suite 405
Duluth, MN 55802
Email: salesuse.claim@state.mn.us
Sign Here
A request for refund led by a corporaon must bear the original signatures and tles of the ocers having the authority to sign for the corporaon.
I declare under the penales of criminal liability for willfully making a false claim that this claim has been examined, and, to the best of my (our)
knowledge and belief, is true and complete.
Signature of taxpayer or authorized representave Title Date Phone
Preparer signature Preparer Minnesota tax ID number Date Preparer Phone
Type of request you are ling (select all that apply):
Mulple Period Amended Return
Sales tax paid in error on your returns
Sales tax due on your returns
Use tax paid in error on your returns
Use tax due on your returns
Request for Sales and Use Tax Paid on Audited Periods
This form is only to be used if new informaon is being provided. This form is not to be used in place of the appeals process.
Date audit was paid
Was the audit assessment paid in full? Yes No
You must aach the Minnesota Department of Revenue Tax Order, Form ST310C, Explanaon of Adjustments, and all audit schedules and exhibits.
Worksheet
Create and aach a supporng worksheet for each type of request. Sales tax, use tax and all local taxes need to be separated by local taxing district
on each worksheet. See instrucons.
Describe your business and the reason for your request.
Total Refund or Amount Due
Refund requested Addional tax due .........................................................
The applicaon must include sucient informaon to permit the commissioner to verify the tax paid. 297A.75 Subd. 3a.
When should I use this form?
To amend multiple sales and use tax returns
To request a refund of Minnesota sales, use, and/or local taxes assessed on a sales and use tax audit that has been paid in full when you
have documentation that was not present at the time of audit.
Note:
You must be registered for sales or use tax.
• Yourrequestformisnotvaliduntilfullycomplete.Youmustincludesucientinformationtoverifyyourrequest.
How long do I have to le?
Generally,youmustletherequestwithin3andonehalfyearsfromthedatethetaxwasdue,oroneyearfromthedateofanorderassessing
tax, whichever is later.
How do I ll out the form?
1. Enter your business Informaon
• IfyourMinnesotataxIDnumberchangedduringtherequestperiod,leaseparateformforeachIDnumber.
2. Choose the type of request
Choose all that apply.
• Youcanndinstructionsforeachtypeofrequestonthefollowingpages.
3. Create a worksheet
Create a worksheet listing the items you are requesting a refund for.
If you want to make more than one request on the same form, you must complete a separate worksheet for each type of request.
4. Describe your business and the reason for your request
5. Indicate the total refund or amount due
Total the amounts from all worksheets.
If your amended return results in an amount due, you may make a payment by logging into e-Services. Follow the instructions for mak-
ing a payment for an amended return. Apply the payment to the last period being amended. We will bill you for additional amounts due.
6. Sign the form
What happens next?
We may ask for additional information, such as:
Copiesofexemptioncerticates
Copies of vendor invoices
Backup documentation for your sales and use tax returns
We will review your request, and send you a letter with our decision.
If your request is approved and:
You do not owe other taxes, we will send you a refund of the tax plus any applicable interest.
You owe other government debts, we will use your refund to reduce or pay your balance due. Once your taxes are paid in full, we will
send you the remaining refund amount.
You received a refund from us and a vendor refunded you for the same item, you must return the refund we gave you.
Quesons?
Call651-296-6181or1-800-657-3777.
Instrucons for Form ST11-MPA
Instrucons and Sample Worksheets
Mulple Period Amended Return
Whenyoumakeanerroronyoursalesandusetaxreturn,youmustleanamendedreturntocorrecttheerror.Youcanusethisformifyou
paidtoomuchortoolittle.Onlyusethisformtoxmultiplesalesandusetaxreturnsatthesametime.Ifyouneedtoadjustasinglereturn,
visit our website at www.revenue.state.mn.us.
Ifthereturnyouamendwasledlate,penaltyandinterestwillapplytoanyadditionalamountyouowe.
Donotuseanamendedreturntomakeadjustmentsforbaddebt,cashorcreditrefunds,orreturnedchecks.Reporttheseadjustmentsona
current return.
A separate worksheet is required for each type of request checked on the ST11-MPA
Sample Worksheet for Mulple Period Amended Returns
The examples are for reference only. Add a column for each local tax.
Invoice Date Invoice
Number
Vendor Name Item
Purchased
Specify sales
or use tax
Period
Amended
Purchase
Price
Total Tax
Change
Change in
Minnesota
Tax
Change in
Anoka County
Transit Tax
Reason for Request
2/1/2020 55521 Equipment.
com
CNC Machine
replacement
parts
use 2/20 25,000.00 1,781.25 1,718.75 62.50 Use tax paid in error on
exempt capital equip-
ment
3/5/2020 7026 XYZ Corp EDM Machine use 3/20 57,500.00 4,096.88 3,953.13 143.75 Use tax paid in error on
exempt capital equip-
ment
4/15/2020 7050 ABC Comput-
ers
Computer use 4/20 975.00 69.47 67.03 2.44 Use tax paid twice on
the same item
TOTAL 5,947.59 5,738.91 208.69
Ulies Refund
Ifyouareautilityserviceprovider,youcanusetheMultiplePeriodAmendedSalesandUseTaxReturntoclaimrefundsofMinnesotaand
local taxes paid for customers who claim tax exemption after they pay. You must provide a separate worksheet for a utilities refund.
You must return sales tax collected in error to your customer within 60 days of receiving the refund.
Month tax was
invoiced
Period
amended
Specify
sales or use
tax
Change in taxable
amount
Total Tax Change Minnesota Tax Ramsey County Transit Tax St Paul Tax
2/2020 2/20 sales 3,636.00 286.34 249.98 18.18 18.18
3/2020 3/20 sales 6,240.00 491.40 429.00 31.20 31.20
4/2020 4/20 sales 1,004.00 74.05 69.03 5.02
REFUND 851.78 748.00 54.40 49.38
TAX DUE
Sample Worksheet for Ulies Refund
The examples are for reference only. Add a column for each local tax.
Note: We may request additional invoice level detail, if necessary.
Request for Sales and Use Tax Paid on Audited Periods
Provide documentation showing the tax assessed in Audit and a complete explanation why this tax was assessed in error.