Form 75 - Idaho Fuels Use Report (2006)

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F
75
IDAHO FUELS USE REPORT
O
R
EFO00055
M
12-06-06
Social Security Number
Name
.
PLEASE
Assumed Business Name DBA)
PRINT
OR
Federal Employer Identification Number
Address
.
TYPE
City, State, and Zip Code
.
State Use Only
Section I.
FILING PERIOD Beginning ________, _____, and ending
________, _____
If you have already claimed a refund of this tax from the Tax Commission on another Form 75,
do not complete this form.
Section II. BUSINESS ACTIVITIES
Mark each box below that describes the business activities of your company.
.
.
.
1.
Farming
6.
Landscaping & tree service
11.
Golf course
.
.
.
2.
Logging
7.
Well drilling
12.
Outfitter
.
.
.
3.
Construction
8.
Equipment rental/leasing
13.
Mining
.
.
.
4.
Trucking
9.
Concrete/asphalt/gravel
14.
Other (describe) ____________
.
.
5.
Manufacturing
10.
Excavating
Section III. NONTAXABLE USE
Mark each box below that describes the nontaxable use(s) to claim a refund of fuels taxes.
IDAHO TAX-PAID special fuels (diesel, propane, or
*IDAHO TAX-PAID gasoline used in
.
natural gas) used in
10.
Stationary engines
.
.
1.
Stationary engines
11.
Unregistered equipment (list)
.
2.
Unregistered equipment (list)
.
12.
Refrigeration unit with separate tank
.
.
3.
Refrigeration unit with separate tank
13.
IFTA auxilary engine allowance (attach Form 75-IC)
.
.
4.
Intrastate motor vehicles off-highway miles
14.
Intrastate motor vehicle auxiliary engine
(attach Form 75-IMV)
allowance (attach Form 75-IMV)
.
.
5.
IFTA power take-off and auxiliary engine
15.
Aircraft (see instructions)
.
allowances (attach Form 75-IC)
16.
Commercial motor boat
.
.
6.
Intrastate motor vehicle power take-off and
17.
Other (describe )
auxiliary engine allowances (attach Form 75-IMV)
.
7.
Federal, state, and local government motor vehicles
.
8.
Aircraft (see instructions)
.
* Gasoline used in a registered motor vehicle (government or
9.
Other (describe )
privately owned) does not qualify for a refund of the gasoline tax.
Section IV. TOTAL REFUND OR TAX DUE
Complete the sections on page 2 that apply to you (Sections V, VI, VII, and VIII) before completing this section.
.
$
1.
Gasoline tax refund from page 2, Section V, line 5 ....................................................................................
.
2.
Special fuels tax refund from page 2, Section V, line 6 ..............................................................................
.
3.
Gasoline tax due from page 2, Section VI, line 4 .......................................................................................
.
4.
Special fuels tax due from page 2, Section VI, line 5 .................................................................................
.
5.
Combined total of use tax due from page 2, Section VII, line 8 and Section VIII, line 8 ..............................
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
I paid the use tax with my sales/use tax return. Permit number ___________________________
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
6.
Refund. If the total of lines 1 and 2 is greater than the total of lines 3, 4, and 5,
.
enter the difference. ..........................................................................................................
7.
Tax Due. If the total of lines 1 and 2 is less than the total of line 3, 4, and 5,
.
enter the difference. ..........................................................................................................
.
Within 180 days of receiving this return, the Idaho State Tax Commission may contact the paid preparer to discuss it.
Under penalties of perjury, I declare that to the best of my knowledge and belief this report is true, correct and complete.
.
Date
Authorized signature
Call 334-7660 in the Boise area
or (800) 972-7660 toll free.
SIGN
Daytime phone
Title
HERE
MAIL TO:
Idaho State Tax Commission
Paid preparer's signature
.
Preparer's EIN, SSN, or PTIN
PO Box 76
Boise, ID 83707-0076
Address and phone number

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