Form Au-737b - Instructions

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Instructions
Your motor vehicle fuels tax refund claim for diesel fuel used
Name and address of the purchaser (which must be
during calendar year 2000 must:
the name and address of the person or entity filing
the claim for refund);
1.
Be filed with the Department of Revenue Services (DRS)
on or before May 31, 2001; AND
Number of gallons of diesel fuel being purchased;
2.
Include at least 200 gallons of diesel fuel eligible for tax
Price per gallon; and
refund.
Total amount paid.
Be sure to provide a telephone number where you can be
Motor bus companies must attach a copy of their certificate
contacted.
of public convenience and necessity issued under Chapter
244 of the Connecticut General Statutes with each claim filed.
You must indicate your Connecticut Tax Registration Number
or Social Security Number in the space provided.
You must retain records that substantiate your refund claim
for at least three years following the filing of the claim and
For all purchases reported on Line 2, you must attach a copy
make them available to DRS upon request.
of each numbered slip or invoice that was issued at the time
of the purchase. The slip or invoice may be the original or a
photocopy and must include the:
Date of purchase;
Name and address of the seller (which must be printed
or rubber stamped on the slip or invoice);
Additional Information
If you need additional information or assistance,
YOUR REFUND WILL BE APPLIED AGAINST ANY
please call the Excise/Public Services Taxes
OUTSTANDING DRS TAX LIABILITY.
Subdivision at 860-541-3225, Monday through Friday,
between the hours of 8:00 a.m. and 5:00 p.m. Forms
may also be downloaded from our Web site at:
FORM AU-737b Back (Rev. 11/00)

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