Form Mf-001w - Taxicab Claim For Fuel Tax Refund Page 4
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INFORMATION AND INSTRUCTIONS
Wisconsin law provides that persons who use motor vehicle
ASSISTANCE
fuel or alternate fuel in operating a taxicab for transportation of
If you need additional claim forms, or have any questions, call
passengers may receive a refund of the Wisconsin fuel tax
us at (608) 266-7363 or 266-6701, FAX (608) 261-7049, or
paid. Motor vehicle fuel includes gasoline (gasohol) and
e-mail excise@revenue.wi.gov
undyed diesel fuel. Alternate fuel includes LPG (liquefied
propane gas) and CNG (compressed natural gas).
COMPLETING YOUR REFUND CLAIM
Enter the dates of the first and last fuel purchases for the time
Definition of Taxicab
- A "taxicab" is a motor vehicle having a
period covered by your refund claim.
passenger capacity of fewer than 15 persons, for public hire,
charging passengers upon a time or distance basis, without
REFUND COMPUTATION SCHEDULE
following any fixed routes. Vehicles used as taxicabs must be
designated as "Vehicle has or will be used for public
If your fuel purchases cover more than one fuel tax rate period
transportation (tax)" on the motor vehicle registration form,
you must file a separate refund claim for each period. The
MV-1, filed with the Wisconsin Department of Transportation.
periods and related fuel tax rates are shown at top of this form.
Before you complete this schedule to compute your refund,
HOW TO OBTAIN A REFUND
separate your fuel purchases by the period covered and then
A refund can only be obtained by completing this claim form
by the type of fuel (gasoline includes gasohol).
Complete only
and filing it with the Wisconsin Department of Revenue.
those columns which pertain to the types of fuel you
purchased.
DUE DATE
Line 1
. Indicate the total gallons purchased and used per fuel
You may file a refund claim any time during the year (for
type.
example, quarterly, semi-annually, annually). A CLAIM MUST
BE FILED WITHIN 12 MONTHS FROM THE DATE FUEL IS
Line 2
. In each column indicate the gallons included on line 1
PURCHASED. It is date of purchase (not date of payment) that
that were not used in a taxicab to transport passengers.
determines the due date of your refund claim.
Line 3
. Subtract line 2 from line 1 in each column and enter
PURCHASE VERIFICATION REQUIREMENTS
the totals on this line in the respective columns. Then add the
Verification of your fuel purchases must accompany your claim
gallons entered in all columns on line 3, and enter the total on
in order to obtain a refund. You must select one of the two
line 6.
options below to detail your purchases.
Line 4.
Enter the fuel tax rates that correspond to the period
1. Purchase Schedule (submit instead of invoices)
covered by your invoices and the type of fuel purchased.
You may submit a schedule listing your fuel purchases instead
Line 5.
Multiply the gallons in each column on line 3 by the
of submitting invoices. A purchase schedule for your use
fuel tax rate on line 4. Enter the results on line 5 in the
appears on page 2 and 3 of this claim form. In lieu of
appropriate columns. Then add the amounts entered in all
completing this schedule, you may submit a computerized
columns on line 5, and enter your total refund on line 7/8.
listing of your fuel purchases. If you submit a computerized
listing, it MUST contain the same information requested in our
Line 6.
TOTAL GALLONS. Add all columns on line 3 and
schedule.
enter the total gallons on line 6.
2. Invoices
Line 7/8 TOTAL REFUND
.
. Add all columns on line 5 and
Invoices must be submitted for your fuel purchases. You must
enter the total on line 7/8.
THIS IS YOUR REFUND.
submit a separate invoice for each purchase (grouping
purchases on one invoice is not acceptable).
TAXICAB SCHEDULE
Each invoice prepared by your supplier must contain the
List all taxicabs operated during the period covered by this
following information.
refund claim. For each taxicab, enter its fleet number, vehicle
a. Date of purchase
identification number (VIN), license plate number, passenger
b. Name and address of purchaser
capacity, beginning and ending odometer readings, and
c. Name and address of seller
number of gallons used in each taxicab during the claim
period.
d. Number of gallons purchased
e. Amount of Wisconsin fuel tax paid
In addition, your invoices must be assembled in ascending
Sign and date your refund claim, and indicate your
date order (oldest invoice first). Your invoices must also be
business telephone number.
accompanied by adding machine tapes to show how you
computed the gallons entered on line 1. Attach (staple/clip)
RECORD KEEPING
each adding machine tape to the invoices covered by that
You must keep a copy of this refund claim and all records
tape.
pertaining to your business for at least 4 years. Store them in a
The invoices will not be returned to you. They become a
place that is easily accessible for review by department
permanent part of your refund claim.
representatives.
GALLON LIMITATION FOR CLAIMS SUBMITTED
FRAUDULENT CLAIMS
All refund claims submitted must be for 100 gallons or more. If
Under section 78.73(1) of the Wisconsin Statutes, any person
you submit a claim for less than 100 gallons, it will be returned
who uses a false or fictitious name when submitting a refund
to you.
claim or commits any other fraud in preparing and submitting a
claim, may be fined not more than $500 or imprisoned not
more than 6 months or both. Altering a purchase date on an
DEPARTMENT REVIEW OF REFUND CLAIMS
invoice to bring it within the 12 month time limitation for filing a
The department reserves the right to review and adjust refund
refund claim is a fraudulent act.
claims either before or after refund checks are issued.
R611B
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