Form Au-932 - Inventory Report For Diesel Fuel Form - State Of Connecticut (Page 2 of 2) in pdf

Form Au-932 - Inventory Report For Diesel Fuel Form - State Of Connecticut Page 2

INSTRUCTIONS

This report must be completed and filed with the DRS by

per month or fraction thereof, computed from the statutory

September 1, 2002 even if there is NO TAX DUE. If the retail

due date to the date of payment.

station is no longer in operation, please write “No Longer in

Operation” on the front of this report and return it in the

A penalty of $50 or 10% of the tax due, whichever is greater, is

enclosed envelope. If the retail station has been sold prior to

imposed when payment of the tax is received after the due

July 31, 2002, please note the date of sale and new owner on

date.

the front of this report and return it in the enclosed envelope.

For additional information or assistance, call the

Excise/Public Services Taxes Subdivision of the Audit

Make checks payable to : Commissioner of Revenue Services.

Enclose your check and report in the envelope provided.

Division at 860-541-3225, Monday through Friday, 8:00 a.m.

to 5:00 p.m.

Any underpayment of tax will accrue interest at a rate of 1%

Declaration:

I declare under penalty of law that I have examined this report and, to the best of my knowledge and belief, it is true,

complete, and correct. I understand that the penalty for willfully delivering a false document to DRS is a fine of not more than $5,000,

or imprisonment for not more than five years, or both.

Signature

Date

Print Name

Title

Phone Number

AU-932 Back (Rev.07/02)

Form Au-932 - Inventory Report For Diesel Fuel Form - State Of Connecticut Page 2