Fillable Form Mvf 31 - Motor Fuel Refund Permit Application printable pdf download

Form Mvf 31 - Motor Fuel Refund Permit Application

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MVF 31

Department of

Rev. 12/08

Permit number assigned

Taxation

P.O. Box 530

Columbus, OH 43216-0530

Motor Fuel Refund Permit Application

Pursuant to Ohio Revised Code Section 5735.16, I/we hereby apply for a motor fuel refund permit. The applicant understands

that this permit may be revoked by the tax commissioner if it is found that the permit holder has made a false or fraudulent

application for refund of tax or when the permit holder fails to furnish information required by law.

Under penalties of prosecution, no person shall make a false

or fraudulent statement on this application.

1. Name of applicant

(If you are a corporation, DO NOT use your name, use the corporation name.)

FEIN

SSN

Ohio charter number

Telephone

Fax

E-mail

2. Trade name if other than above



Partnership

Corporation

LLC

LLP

3. Check whether applicant operates as:

Sole owner



Association

Other (list)

4. If a corporation, date of qualification

List name, address and SSN of all corporate officers and directors (attach separate sheet, if necessary)

5. If partnership, list name, address and SSN of all partners. If LLC or LLP, list name, address and SSN of all members (attach

separate sheet, if necessary).

6. Business address (P.O. boxes not acceptable)

7. County in which business is located

8. Mailing address (if other than that shown on line 6)

9. Explain how this fuel is being used in a refundable manner. Be specific.

10. Please provide a detailed list of the type of equipment that is using fuel in a refundable manner. Also provide us with the

quantity of each type of equipment operated. (Attach a separate sheet if necessary.)

Form Mvf 31 - Motor Fuel Refund Permit Application

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