Instructions For Petroleum Tax Registration Application Form printable pdf download

Instructions For Petroleum Tax Registration Application Form

INSTRUCTIONS

Petroleum Tax Registration Application

This application is for Petroleum Product Distributors Permits, Natural Gas - Compressed Gas -

Locomotive Fuel Users Permits, Contractors Direct Pay Permits for Special Fuel, Retail Dealer Dyed

Diesel Fuel Permits and Refund Gasoline User Permits. Please refer to the Petroleum Tax Division

Information Bulletin for detailed information concerning these permits. Also, you may telephone the

Petroleum Tax Division at 601-923-7150.

All spaces on the application must be completed. Please mark “N/A” if not applicable.

An applicant for any of the types of permits listed below is required to post a bond with the Tax

Commission.

Gasoline Distributor

Special Fuel Distributor

Compressed Gas Distributor

Crankcase Lubricating Oil Distributor

Contractors Direct Pay Permit - Special Fuel

Retail Dealer Dyed Diesel Fuel

Please contact the Petroleum Tax Division at 601-923-7150 for information on the amount of bond that

is required to be posted.

The application must be signed by an officer, partner or other such person authorized to sign such

documents.

Please return the completed application to:

Mississippi State Tax Commission

Petroleum Tax Division

P. O. Box 1033

Jackson, MS 39215

Instructions For Petroleum Tax Registration Application Form