Fillable Form Au-738 - Motor Vehicle Fuels Tax Refund Claim - Nutrition Program

Instructions

Your motor vehicle fuels tax refund claim for fuel used during

Line 6 - Gross refund: Use this table to calculate the proper tax

refund rate based on when your purchase was made.

calendar year 2008 must:

2008 Tax Refund Rates for

1. Be filed with DRS on or before May 31, 2009; and

Only

Nutrition Program

2. Involve at least 200 gallons of fuel eligible for tax

refund.

January 1, 2008, through June 30, 2008, purchases

Diesel .................................. 37¢ per gallon

The appropriate fuel type box must be marked on the front

of this form to process this claim. You must file a separate

Motor Vehicle Fuels ........... 25¢ per gallon

Form AU-738, Motor Vehicle Fuels Tax Refund Claim, for

July 1, 2008, through December 31, 2008, purchases

each motor vehicle fuel type.

Diesel ................................... 43.4¢ per gallon

Provide a telephone number where DRS can contact you.

Motor Vehicle Fuels ........... 25¢ per gallon

You must indicate your Connecticut Tax Registration Number,

You must file a separate Form AU-738 for each fuel type

Federal Employer Identification Number (FEIN), or Social

and each claim type in effect between January 1, 2008, and

Security Number (SSN) in the space provided.

June 30, 2008. You must also file a separate Form AU-738

for each fuel type and each claim type in effect between

For all purchases of fuel listed, you must attach a copy of each

July 1, 2008, and December 31, 2008.

numbered slip or invoice issued at the time of the purchase.

The slip or invoice may be the original or a photocopy and

You must attach a copy of your contract with your local

must show the:

area agency on aging as evidence of your eligibility to

provide Title III-C meals to senior citizens.

•

Date of purchase;

Line 6 Only - Rounding Off to Whole Dollars: You must

•

Name and address of the seller, which must be printed

round off cents to the nearest whole dollar on your motor

or rubber stamped on the slip or invoice;

vehicle fuels tax refund claim. If you do not round, DRS will

•

Name and address of the purchaser, which must be the

disregard the cents. Round down to the next lowest dollar

name and address of the person or entity filing the claim

all amounts that include 1 through 49 cents. Round up to the

for refund;

next highest dollar all amounts that include 50 through 99

•

Number of gallons of fuel purchased;

cents. However, if you need to add two or more amounts to

•

Price per gallon;

compute the total to enter on a line, include cents and round

off only the total.

•

Total amount paid; and

Example: Add two amounts ($1.29 + $3.21) to compute the

•

If payment is made within a discounted period, provide

total ($4.50) to enter on a line. $4.50 is rounded to $5.00 and

proof of amount paid.

entered on the line.

You must retain records to substantiate your refund claim for

Mail the completed refund application to:

at least three years following the filing of the claim and make

them available to DRS upon request.

Department of Revenue Services

Excise Taxes Unit

25 Sigourney Street

Hartford CT 06106-5032

Additional Information

If you need additional information or assistance, call the

Excise Taxes Unit at 860-541-3224, Monday through Friday,

8:30 a.m. to 4:30 p.m. Visit the DRS website at

to download and print Connecticut tax

forms.

Your refund will be applied against any outstanding

DRS tax liability.

Form AU-738 Back (Rev. 07/08)

Form Au-738 - Motor Vehicle Fuels Tax Refund Claim - Nutrition Program - 2008 Page 2

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