Form O-Mf1 52 - Motor Vehicle Fuels Tax Return
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1STATE OF CONNECTICUT
MOTOR VEHICLE FUELS TAX RETURN
RETURN FOR MONTH ENDED
DEPARTMENT OF REVENUE SERVICES
PO BOX 5031
TAX TYPE
HARTFORD CT 06102-5031
52
CT TAX REGISTRATION NUMBER
DISTRIBUTOR
VERIFIED
OA
FA
INSTRUCTIONS
1. Taxpayers must file a return for each calendar month by the 25th day of the following
month. For example, a Motor Vehicle Fuels Tax Return for January 1st through January
31st should be filed on or before February 25th. A return must be filed even if no tax is due.
2. Make check or money order payable to: COMMISSIONER OF REVENUE SERVICES.
3. Mail to the above address.
I declare under the penalty of false statement that I have
4. SEE SPECIFIC INSTRUCTIONS ON REVERSE SIDE.
examined this return and to the best of my knowledge
Please correct your name and address if shown incorrectly.
and belief it is true, complete and correct.
SIGNATURE _____________________________________
TITLE __________________________________________
PHONE NO. _________________ DATE __________, 19__
Liquid Gallons
(Round off to the nearest gallon)
1
Opening inventory
1
2
Gallons imported from another state (Form MVF-1A, Schedule 2)
2
3
Gallons purchased from sources within this state (Form MVF-1A, Schedule 3)
3
4
Gallons imported from another state direct to customers in this state (Form MVF-1A, Schedule 4)
4
Gallons of additives, dyes and conditioners mixed with motor fuel and straight kerosene (sold or used)
5
5
as a motor fuel (Form MVF-1A, Schedule 5)
6
Total charges (Total of Lines 1 through 5)
6
7
Closing inventory
7
8
Total gallons to be accounted for (Line 6 less Line 7)
8
9
Nontaxable use, sales to farmers and other distribution (Form MVF-1B, Schedule 9)
9
10
Sales and transfers for export out of state (Form MVF-1B, Schedule 10 and 10A)
10
11
Nontaxable sales to licensed distributors (Form MVF-1B, Schedule 11)
11
11A
Sales of aviation gas and aviation jet fuel (Form MVF-1B, Schedule 11A)
11A
12
Sales to U.S. Government, State of Connecticut and municipalities (Form MVF-1B, Schedule 12)
12
Gain or loss from inventory variation (Show gain as “ G ” and deduct)
13
13
14
Total nontaxable distribution (Total of Lines 9 through 13)
14
15
Taxable sales
15
16
Taxable sales to licensed distributors (Form MVF-1B, Schedule 16)
16
17
Taxable use
17
18
Total taxable distribution (Total of Lines 15, 16 and 17)
18
19
Total gallons accounted for (Add Lines 14 and 18; the sum must equal Line 8)
19
TAX COMPUTATION
Liquid Gallons
AMOUNT
$
20
Total taxable distribution (Multiply Line 18 by 32¢ per gallon)
20
20
$
21
Tax paid purchases (Form MVF-1A, Schedules 2, 3, 4 and 5)
21
21
$
22
Dealer sales to United States Government (Form MVF-1B, Schedule 22)
22
22
23
Total deductions (Line 21 plus Line 22)
23
23
$
24
Tax due (Line 20 less Line 23)
24
$
$
25
Credit (Attach credit memo)
25
$
26
26a)
Interest _____________________________ Plus (26b)
Penalty _________________________
=
26
$
27
Net amount due (Line 24, less Line 25, plus Line 26)
27
O-MF1 52 (Rev. 7/98)
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