Form 413/nnmft/web - Application For Refund Of Motor Fuel Tax Page 2
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1
2DATE OF
NAME AND CITY/TOWN LOCATION
LITRES
AMOUNT OF
FOR OFFICE
CLEAR GASOLINE
PURCHASE
INVOICE NO.
OF FUEL PROVIDER
PURCHASED
TAX PAID
USE ONLY
YYYY / MM / DD
Purchases in Victoria
Regional Transit
Service Area
(see definition below)
Purchases in Greater
Vancouver Transit
Service Area
(see definition below)
Purchases in the
Remainder of BC
(outside the Service
Areas defined below)
DATE OF
LITRES
NAME AND CITY/TOWN LOCATION
AMOUNT OF
FOR OFFICE
CLEAR DIESEL
PURCHASE
INVOICE NO.
PURCHASED
OF FUEL PROVIDER
TAX PAID
USE ONLY
YYYY / MM / DD
Purchases in Victoria
Regional Transit
Service Area
(see definition below)
Purchases in Greater
Vancouver Transit
Service Area
(see definition below)
P
Purchases in the
Remainder of BC
A
(outside the Service
R
Areas defined below)
T
COLOURED
DATE OF
LITRES
AMOUNT OF
FOR OFFICE
NAME AND CITY/TOWN LOCATION
INVOICE NO.
PURCHASE
GASOLINE
PURCHASED
TAX PAID
USE ONLY
OF FUEL PROVIDER
D
YYYY / MM / DD
Purchases in Victoria
Regional Transit
Service Area
(see definition below)
Purchases in Greater
Vancouver Transit
Service Area
(see definition below)
Purchases in the
Remainder of BC
(outside the Service
Areas defined below)
COLOURED
DATE OF
LITRES
AMOUNT OF
FOR OFFICE
NAME AND CITY/TOWN LOCATION
PURCHASE
INVOICE NO.
DIESEL
PURCHASED
TAX PAID
USE ONLY
OF FUEL PROVIDER
YYYY / MM / DD
Purchases in Victoria
Regional Transit
Service Area
(see definition below)
Purchases in Greater
Vancouver Transit
Service Area
(see definition below)
Purchases in the
Remainder of BC
(outside the Service
Areas defined below)
Greater Vancouver Transit Service Area boundaries are
• The Langford Electoral Area which, on the Malahat
north to and including Lion’s Bay, west to and including
Drive portion of Highway 1, extends north to the
Bowen Island, south to the international border, and east to
Cowichan Valley Regional District boundary, located
and including the municipalities of Langley, Maple Ridge,
just south of Irving Creek and Okotoks Road.
and Pitt Meadows.
• The portion of the Sooke Electoral Area east of
Tugwell Creek and south of the southern boundary of
Victoria Regional Transit Service Area includes the
the Malahat Land District, encompassing the town of
following:
Sooke. Tugwell Creek is west of the town of Sooke
• The municipalities of Victoria, Esquimalt, Oak Bay,
and flows into Orveas Bay between Otter Point and
Saanich, Central Saanich, Sidney, North Saanich,
Sherringham Point.
Metchosin, Colwood, View Royal, and Langford.
FIN 413/NNMFT (Reverse) Rev. 2001 / 8 / 16
Clear Form
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