Power Take Off Refund Claim (Form 701) - Maryland

Download a blank fillable Power Take Off Refund Claim (Form 701) - Maryland in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Power Take Off Refund Claim (Form 701) - Maryland with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

FORM
POweR Take OFF
MaRYLaND
701
Class ______________________
Refund Status _______________
MOTOR FUeL
ReFUND CLaIM
TaX
County Code ________________
Tran Status _________________
This claim is subject to audit and possible adjustment. This fuel may be
subject to sales and use tax. See instructions on page 2.
DO NOT WRITE IN SHADED AREAS
Account Number
Sequence Number
SSN / IRS Number
Name (1)
Type of Refund (Check one):
Percentage
Name (2)
Motor Fuel Delivery Vehicle
10%
Address (1)
Concrete Mixing/Concrete Pumping Vehicle
35%
Solid Waste Compacting Vehicle
15%
Address (2)
Qualifying Farm Equipment
55%
City, State, ZIP code
Well-drilling Vehicle
80%
Telephone Number
Period of Claim
E-Mail Address
From _______________________
To ___________________________
Complete the PTO Refund Claim Worksheet on page 2 and enter your total refund amount: $ ______________
CERTIFICATION: Under penalties of perjury, I declare that I have examined this return, and I hereby certify that all statements herein made are true to the best of my knowl-
edge and belief, and that no part of the refund herein claimed has been heretofore paid. I further certify that the tax for which I am claiming a refund has been paid by me to the
seller.
Signed: __________________________________________________________________________________ Date: ____________________________
COM/RAD-078
(Rev 7/16)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2