F.o.t. Application 6a/fuel Oil Tax Act/tax Exempt Refund Form
Download a blank fillable F.o.t. Application 6a/fuel Oil Tax Act/tax Exempt Refund Form 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 F.o.t. Application 6a/fuel Oil Tax Act/tax Exempt Refund Form 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
1
2F.O.T. APPLICATION 6A
FUEL OIL TAX ACT
TAX EXEMPT REFUND
APPLICATION FOR REFUND OF FUEL TAX WHERE FUEL IS USED FOR A TAX EXEMPT PURPOSE
SECTION A: To be completed by ALL applicants
1. Permit # (if applicable) ____________________________________________________________________________________
2. Name of applicant _______________________________________________________________________________________
3. Address _________________________________________________________________________________________________
4. Phone ___________________________ Fax _________________________ Email ___________________________________
5. Type of fuel
DIESEL
GASOLINE
AVIATION
(use separate form for each)
6. STATEMENT OF YUKON FUEL CONSUMPTION. Please include copies of fuel receipts as well as sufficient
evidence to support your claim.
Equipment in which
Litres
Litres consumed
Litres consumed
Activity Location
fuel consumed
purchased
on maintained
for exempt
Size and Product
(make, model, year,
tax-in
roads
purposes
serial number)
(Off-road)
Total litres
TAX RATES:
DIESEL
$0.072/litre
Tax Rate
GAS
$0.062/litre
$
AVGAS
$0.011/litre
Tax Refund
SECTION B: To be completed by businesses which do not hold a tax exempt permit for commercial off-road
usage in Fishing, Logging, Mining, Outfitting, Trapping, Farming, Tourism and Sawmills
7. The Fuel Oil Tax Act limits the issuance of tax exempt permits and tax refunds to those eligible commercial activities
conducted with the intention of earning income.
a) Is your business actively engaged in commercial operations (earning revenue)? _____ Yes
_____ No
b) Does your business intend to earn income (profit)? _____ Yes
_____ No
c) What was your business income (profit) in the last fiscal year? _______________________________________________
d) What do you forecast your business income (profit) to be during this current fiscal year? _______________________
e) Should the answer to c or d (above) be a negative figure, please explain how the business intends to earn income
(profit).
______________________________________________________________________________________________________
f) Is greater than 50% of revenue derived from non-arm’s length customer? _____ Yes
_____ No
If Yes, provide details: ___________________________________________________________________________________
8. List other commercial activities in which you are involved. _____________________________________________________
Formulaire disponible en français
YG(3369QE)F1 Rev.11/2013
ADVERTISEMENT
0 votes
Related Articles
Related forms
F.o.t. Application 5b/fuel Oil Tax Act/purchase Of Fuel Oil Tax Exempt For Generators Form
Financial
F.o.t. Application 5a/fuel Oil Tax Act/purchase Of Fuel Oil Tax Exempt/for Commercial Activity-off-road Use Only Form
Financial
F.o.t.c./fuel Oil Tax Act/quarterly Return Of Fuel Oil Imported Into The Yukon In The Fuel System Of A Vehicle
Financial
Related Categories
Parent category: Financial