Skip to form

South Dakota Department of Revenue

SpecialT@state.sd.us

445 E. Capitol Ave. Pierre, SD 57501

605-773-3311

SeamlessDocs

Instructions:
Please call and make an appointment with a Revenue agent to audit your loss claim.
Aberdeen (605)626-2218; Mitchell (605)995-8080; Pierre (605)773-3311; Rapid City (605)394-2332; Sioux Falls (605)367-5800; Watertown (605)882-5188; or Yankton (605)668-2939

Your Revenue Agent will confirm the can, case or bottle count only. The both of you will then sign and date the form. This completed form will be emailed by the Revenue Agent to SpecialT@state.sd.us.
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
x

Additional Signatures Required