Schedule A - Agricultural Standart Redund - Montana Department Of Transportation

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Montana Department of Transportation
PO BOX 8019
HELENA MT 59604-8019
Phone:(406) 444-3832
FAX: (406) 444-6032 TTY: (406) 444-7696
Schedule A - Agricultural Standard Refund
A portion of Montana tax on bulk and cardtrol/keylock purchases of undyed diesel and gasoline is
refundable based on percent of gross earned agricultural income .
Applicant’s Name:
Agricultural qualification worksheet must be completed to determine eligibility for the Agricultural Standard Refund.
See Instruction Booklet
General Information
Agricultural Use: The use of fuel by a person whose earns income while engaging in the business of farming or ranching, and who
files farm /ranch income reports for tax purpose as required by the U.S. Internal Revenue Service. (MCA 50-70-201)
Qualifications: To qualify for the Agricultural Standard Refund your gross earned farm income must be at least 30% of your total
gross earned income. (MCA 15-70-223)
Required Records: See instruction booklet page 4.
List your fuel purchases on the back of this schedule.
Compute Refund
1. Percentage agricultural income
%
(Required - see instruction booklet
If less than 30%, you do not qualify for a standard agricultural refund. You may qualify
under a different method. See other filing methods on page 1 of instruction booklet.
A
B
Gasoline
Undyed Diesel
2. Total gallons subject to refund
(Add totals from back of Schedule A)
If percent of gross earned agriculture income (line 1) is :
3. Standard deduction
}
50% or greater ------------ Enter 0.60
40% to 49% ---------------- Enter 0.50
%
%
30% to 39% ---------------- Enter 0.40
0% to 29% ---------------- See Instructions pg 1
4. Gallons subject to refund
(Multiply line 2 by line 3)
5. Montana fuel tax paid per gallon
0.27
0.2775
6. Total refund amount
$
$
(Multiply line 4 by line 5) Enter on line 11 of MF-Refund
Attach this schedule to the application form MF-Refund (form page 1).
Form Page 3

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