Form 75 - Idaho Fuels Use Report

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75
IDAHO FUELS USE REPORT
F
O
R
EFO00286
M
FOR FUEL BOUGHT ON OR AFTER JULY 1, 2015
08-11-15
Name
Social Security Number
PLEASE
Assumed Business Name (DBA)
PRINT
OR
Federal Employer Identification Number
Address
TYPE
City, State, and Zip Code
Section
State use only
I.
FILING PERIOD
Beginning ______, _______ and ending ▪ ______, _______
Use this form for fuel purchased on or after July 1, 2015.
If you've already claimed a refund of this tax from the Tax Commission on another Form 75
for this period, don't complete this form.
Section II. BUSINESS ACTIVITIES
Mark each box below that describes the business activities of your company.
1. ▪
Farming
6. ▪
Landscaping & tree service
11. ▪
Golf course
2. ▪
Logging
7. ▪
Well drilling
12. ▪
Outfitter
3. ▪
Construction
8. ▪
Equipment rental/leasing
13. ▪
Mining
4. ▪
Trucking
9. ▪
Concrete/asphalt/gravel
14. ▪
Other (describe) ________
5. ▪
Manufacturing
10. ▪
Excavating
Section III. NONTAXABLE USE Mark each box below that describes the nontaxable use(s) to claim a refund of fuels taxes.
IDAHO TAX-PAID special fuels (diesel, propane, or natural gas) used in
*IDAHO TAX-PAID gasoline used in
1. ▪
Stationary engines
10. ▪
Stationary engines
2. ▪
Unregistered equipment (list) ____________________
11. ▪
Unregistered equipment (list) _______________
3. ▪
Refrigeration unit with separate tank
12. ▪
Refrigeration unit with separate tank
4. ▪
Intrastate motor vehicles off-highway miles
13. ▪
IFTA auxiliary engine allowance (attach Form 75-IC)
(attach Form 75-IMV)
5. ▪
IFTA power take-off and auxiliary engine allowances
14. ▪
Intrastate motor vehicle auxiliary engine
(attach Form 75-IC)
allowance (attach Form 75-IMV)
6. ▪
Intrastate motor vehicle power take-off and auxiliary engine
15. ▪
Aircraft (see instructions)
allowances (attach Form 75-IMV)
16. ▪
Commercial motor boat
7. ▪
Federal, state, and local government motor vehicles
17. ▪
Other (describe) _________________________
8. ▪
Aircraft (see instructions)
9. ▪
Other (describe) _______________________________
* Gasoline used in a registered motor vehicle (government or
privately owned) doesn't qualify for a refund of the gasoline tax.
Section IV. Total refund or tax due
Complete the sections on page 2 that apply to you (Sections V, VI, or VII) before completing this section.
1. Gasoline tax refund from page 2, Section V, line 5 ...................................................................................... ▪ $
2. Special fuels tax refund from page 2, Section V, line 6 ............................................................................... ▪
3. Gasoline tax due from page 2, Section VI, line 4......................................................................................... ▪
4. Special fuels tax due from page 2, Section VI, line 5 .................................................................................. ▪
5. Total of use tax due from page 2, Section VII, line 8 ................................................................................... ▪
I paid the use tax with my sales/use tax return. Permit number _____________________________
6. Refund. If the total of lines 1 and 2 is greater than the total of lines 3, 4, and 5,
enter the difference .................................................................................................................. ▪
7. Tax Due. If the total of lines 1 and 2 is less than the total of lines 3, 4, and 5,
enter the difference .................................................................................................................. ▪
.
Within 180 days of receiving this return, the Idaho State Tax Commission may discuss this return with the paid preparer identified below.
Under penalties of perjury, I declare that to the best of my knowledge and belief this return it true, correct, and complete. See instructions.
Authorized signature
Date
Call 334-7660 in the Boise area or toll-free at (800) 972-7660.
SIGN
HERE
MAIL TO:
Title
Daytime phone
Idaho State Tax Commission
PO Box 76
Boise ID 83707-0076
Paid preparer's signature
Preparer's EIN, SSN, or PTIN
Address and phone number

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