Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus) - 2006 Page 2
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1
2Instructions
You must use black or blue ink to complete your return.
Table of Motor Vehicle Fuels Tax Refund Rates for 2006
Your motor vehicle fuels tax refund claim for fuel used during
for (Airport Service) Motor Buses
calendar year 2006 must:
Diesel
1.
Be filed with the Department of Revenue Services (DRS) on
January 1, 2006 through December 31, 2006
26¢ per Gallon
or before May 31, 2007; and
Motor Vehicle Fuels
2.
Involve at least 200 gallons of fuel eligible for tax refund.
January 1, 2006 through December 31, 2006
25¢ per Gallon
The appropriate fuel type must be marked on the front of this
form in order to process this claim. You must file a separate
Note: You must file a separate Form AU-737 for each motor
Form AU-737, Motor Vehicle Fuels Tax Refund Claim, for each
vehicle fuel type and each claim type.
motor vehicle fuel type and claim type.
Be sure to provide a telephone number where you can be
least three years following the filing of the claim and make them
contacted.
available to DRS upon request.
You must indicate your Connecticut Tax Registration Number,
Federal Employer Identification Number (FEIN), or Social Security
For Line 6 Only -
Rounding Off to Whole Dollars:
You must round
Number (SSN) in the space provided.
off cents to the nearest whole dollar on your motor vehicle fuels
tax refund claim. Round down to the next lowest dollar all amounts
For all purchases of fuel listed, you must attach a copy of each
that include 1 through 49 cents. Round up to the next highest
numbered slip or invoice issued at the time of the purchase. The
dollar all amounts that include 50 through 99 cents. However, if
slip or invoice may be the original or a photocopy and must show:
you need to add two or more amounts to compute the total to
•
Date of purchase;
enter on a line, include cents and round off only the total. If you
do not round, DRS will disregard the cents.
•
Name and address of the seller (which must be printed or
Example: Add two amounts ($1.29 + $3.21) to compute the total
rubber stamped on the slip or invoice);
($4.50) to enter on a line. $4.50 is rounded to $5.00 and entered
•
Name and address of the purchaser (which must be the
on the line.
name and address of the person or entity filing the claim for
Motor bus companies must attach a copy of their certificate of
refund);
public convenience and necessity issued under Chapter 244 of
•
Number of gallons of fuel purchased;
the Connecticut General Statutes with each claim filed.
•
Price per gallon;
Mail the completed refund application to:
Department of Revenue Services
•
Total amount paid; and
Excise Taxes Unit
25 Sigourney Street
•
If payment is made within a discounted period, provide proof
Hartford CT 06106-5032
of amount paid.
You must retain records to substantiate your refund claim for at
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 Web site at
to download and print Connecticut tax forms.
Your refund will be applied against any outstanding
DRS tax liability.
Form AU-737 Back (Rev. 07/06)
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