Form Reg-1 Addendum C, Motor Vehicle Fuels Tax Petroleum Products Gross Earnings Tax Form - Department Of Revenue Services - Connecticut

Download a blank fillable Form Reg-1 Addendum C, Motor Vehicle Fuels Tax Petroleum Products Gross Earnings Tax Form - Department Of Revenue Services - Connecticut in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Reg-1 Addendum C, Motor Vehicle Fuels Tax Petroleum Products Gross Earnings Tax Form - Department Of Revenue Services - Connecticut with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Reset Form

Department of Revenue Services

REG-1 Addendum C

Connecticut Tax Registration Number

State of Connecticut

Motor Vehicle Fuels Tax

(Rev. 04/10)

Petroleum Products Gross Earnings Tax

Instructions

1. This addendum must be submitted with Form REG-1, Business Taxes Registration Application.

2. If you have previously been issued a Connecticut Tax Registration Number by the Department of Revenue Services (DRS),

enter the number in the space provided and only complete Sections 1 through 6 and Section 14 of Form REG-1.

3. If you are registering for the motor vehicle fuels tax, you may be required to provide additional information and post a surety bond.

Contact the DRS Excise Taxes Unit at 860-541-3224 during business hours.

4. Fee information: There is no fee to register for motor vehicle fuels tax or petroleum products gross earnings tax.

Definitions: Read the definitions below and check all the boxes that apply to you.

Part I: Motor Vehicle Fuels Tax

Distributor: Any person who:

•

Regardless of residency or location, imports fuels, or causes fuels to be imported into this state,

for sale or use;

•

Produces, refines, manufactures, or compounds fuels within this state;

•

Distributes fuels by tank wagon in this state; or

•

Stores fuels in this state in a tank or other container having a capacity equaling or exceeding

100,000 gallons.

Special Fuel Distributor: Any person distributing diesel fuel, propane, natural gas, jet fuel, kerosene,



Special fuel distributor

or biodiesel. ........................................................................................................................................

Motor Vehicle Fuels Distributor: Any person distributing gasoline, aviation gas, ethanol, or ethanol



Motor vehicle fuels distributor

based gasoline. ..................................................................................................................................



Tax-Paid Motor Vehicle Fuels Distributor (Purchase tax paid): Any person distributing motor vehicle

Tax-paid motor vehicle fuels

fuels that includes the state excise tax at the point of purchase. .......................................................

distributor

Heating Fuels Distributor: Any person who distributes number 2 heating oil, kerosene, or propane



to be sold exclusively for heating purposes. You must sign this declaration. .............................

Heating fuels distributor

Declaration for Heating Fuels Distributor only: I declare under penalty of law that, to the best of

my knowledge and belief, all fuel sold by the applicant is used exclusively for heating purposes.

Sign here only if you are applying for

a heating fuels distributors license.

Authorized Signature

Title

Date

Exporter: Any person not licensed as a distributor in Connecticut who purchases fuel exclusively for

export outside the State of Connecticut and is licensed as a distributor in that state.



Motor Vehicle Fuels Exporter: Any person exporting diesel fuel, jet fuel, propane, natural gas,

Motor vehicle fuels exporter

gasoline, aviation gas, or gasohol. ....................................................................................................

Provide state of destination: ________ Distributor’s license no. in that state: _______________

Aviation Fuel Dealer: Any person whose place of business is located upon an established airport

within this state and who purchases fuel from a licensed distributor for sale directly into the fuel tank



Aviation fuel dealer

of any aircraft or aircraft engine. ............................................................................................................

__ __ - __ __ - __ __

If you check any of the boxes in Part I, enter the date you will start selling motor vehicle fuels: ........

Part II: Petroleum Products Gross Earnings Tax

Petroleum Products Gross Earnings: Any company that sells petroleum products whose gross



earnings are derived from the first sale of petroleum products in Connecticut, or any company that

Petroleum products gross

imports, or causes to be imported, petroleum products into Connecticut for sale, use, or consumption

earnings

in Connecticut. ......................................................................................................................................

__ __ - __ __ - __ __

If you check the box in Part II, enter the date you will start selling petroleum products: ......................

Number of gallons of motor vehicle fuel or diesel fuel you expect to sell each month in Connecticut: ____________________________

For DRS Use Only

Authorized Signature

Date

Effective Date

Bond Amount