Forms And Instructions For Application Form For Refund Of Montana Diesel Or Gasoline Tax (Page 2 of 23) in pdf

Table of Contents

General Information (Filing Methods).............................................................................. 1

Definitions.............................................................................................................................. 2

Bulk Invoice Requirements ................................................................................................. 2

Refund Application Form Instructions – MF-Refund...................................................... 3

Schedules A – Agricultural Standard Refund Instructions ............................................. 4

Individual – Agricultural Qualification Worksheets................................................................................... 5

Partnership - Qualification Worksheet........................................................................................................ 5

Corporation - Qualification Worksheet ...................................................................................................... 6

Schedule B – Off-Road Refund Instructions ..................................................................... 7

Schedule C – Power Take-Off Unit (PTO) Refund Instructions ..................................... 8

Attachments - (Tear Out Forms)

Form Page............................................................. 1

Application Form for Refund...................................................................................................................... 1

Schedule A – Agricultural Standard Refund .............................................................................................. 3

Schedule B – Off-Road Refund .................................................................................................................. 5

Schedule C – PTO Fuel Usage Computations ............................................................................................ 7

Sample Dispersal Record (For your files) .................................................................................................. 9

Sample Mileage Record (for your files) ................................................................................................... 10

Mail applications to:

Montana Department of Transportation

PO Box 8019

Helena, MT 59604-8019

406) 444-3832

If you have any questions filling out this form, please call (

between the hours of 8:00 AM

to 5:00 PM, Monday through Friday except holidays. You may download forms from our Website at

MDT attempts to provide accommodations for any known disability that may interfere with a person participating in any service,

program or activity of the Department. Alternative accessible formats of this document will be provided on request. For further

information, call (406) 444-6331 or TTY: (406) 444-7696

10,000 copies of this publication were published at an estimated cost of $0.956 per copy, for a total cost of $9,557.26, which

includes $2,057.26 for printing and $7,500 for distribution.

By cooperative agreement, the Montana Department of Transportation exchanges fuel tax information with other tax collecting

agencies.

Forms And Instructions For Application Form For Refund Of Montana Diesel Or Gasoline Tax Page 2