Form 3712 - Motor Fuel Tax License Application Page 5
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7Form 3712, Page 5
46. Complete the following for each of your terminals in Michigan and for each of your terminals outside of Michigan selling petroleum products with a
Michigan destination (Attach additional sheets if necessary.)
IRS Terminal Control Number
City
State
Storage Capacity
4
4
4
47. List all position holders/suppliers with the ability to own product in the terminal(s) indicated above (Attach additional sheets if necessary.)
Name
FEIN
IRS Terminal Control Number(s)
48. Do you own/operate a terminal outside of the United States?
Yes
No
If yes: a. List locations (province, country)_________________________________________________________________________
b. Will you elect to treat removals from these terminals in the same manner as removals in this state?
Yes
No
PART 7: IMPORT LICENSE
49. Do you plan to import petroleum products into the State of Michigan?
Yes
No
If no, Skip to Part 8.
a. Indicate the type of petroleum products imported into the State of Michigan
Gasoline Products
Diesel Products
Aviation Products
Misc. Products
Gasoline (065)
Ethanol (241)
Dyed Diesel (228)
Aviation Gasoline (125)
Other:_______________
Gasohol (124)
Methanol (243)
Clear Diesel (160)
Jet Fuel (130)
Other _____________________________
K1 Kerosene (142)
b. Indicate the means of transport for this imported product (check all that apply)
Pipeline
Transport Truck
Railroad
Tank Wagon
Barge/Ship
Other (describe): ____________________________________________________
c. List the locations from which you import petroleum products and attach copies of applicable licenses from the state/country/province of origin. If a
license is not required by the state/country/province of origin, indicate with N/A for that state/country/province.
d. Will you import fuel grade ethanol from a bulk plant?
Yes
No
If yes, go to Part 4.
Fuel Type
Indicate State(s), Country(ies) and/or Province(s)
Gasoline (065)
Clear Diesel (160)
Dyed Diesel (228)
Aviation Gasoline (125)
Jet Fuel (130)
50. Are you bringing product in from outside of the United States?
If yes, you must be licensed as either of the following (check one):
Yes
No
Bonded Importer – Required to submit surety bond in an amount determined by the department, but not less than $2,000,000 unless
a.
you are registered under IRS Sec. 4107, in which case the bond may be reduced to no less than $1,000,000.
Occasional Importer – May be required to submit surety bond in an amount determined by the department, but exceeding $2,000,000.
b.
Required to pay tax on imported products within 3 days of the earliest of entry into the country or receipt of the import verification
number.
Note: Diesel fuel dyed to Canadian specifications does not meet the IRS-approved standards for dyed diesel fuel and is subject to
Michigan excise tax.
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