Form Mvf-3 - Terminal Operator'S Monthly Gasoline Activity Schedule Page 4
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4General Instructions
Specifi c Line Instructions
Additional Information
1. You must fi le Form MVF-3 and your monthly
If you need additional information or assistance, call
Part 1 - Reconciliation
Form O-MF, Motor Vehicle Fuels Tax Return,
the Excise Unit at 860-541-3224, Monday through
Line 1 List actual physical inventory on the fi rst day
with the Commissioner of Revenue Services not
Friday, 8:30 a.m. to 4:30 p.m.
of the month being reported.
later than the 25th day of the month following the
Visit the DRS website at to
Line 2 Enter total receipts from Part 2.
calendar month being reported.
download and print Connecticut tax forms.
Line 3 Add Lines 1 and 2.
Example: The Motor Vehicle Fuels Tax Return
for January 1 through January 31 must be fi led
Line 4 Enter total disbursements from Part 3.
on or before February 25.
Line 5 Subtract Line 4 from Line 3.
A return must be fi led even if no tax is due.
Line 6 List the actual physical inventory on the last
day of the month for which a report is being
2. Enter in the spaces provided: Name of terminal
fi led.
operator, address of terminal operator, customer
name, month, terminal operator’s telephone
Line 7 Report the inventory variation on this
number, and customer Connecticut Tax
line. Losses in excess of .005% of total
Registration Number.
accountable-gallons must be documented
and may be subject to tax under Conn. Gen.
3. Separate reports are required for each customer
Stat. §12-457. Unaccounted for fuel for which
who stores or through-puts gasoline at your
a distributor has not submitted a satisfactory
terminal. Additionally, you must fi le a separate
explanation will be construed to have been
report for your own activity at the terminal.
sold or used by the distributor.
4. Mail to:
Part 2 - Receipts
State of Connecticut
List all receipts of gasoline at the terminal by date
Department of Revenue Services
including all book transfers.
Excise Taxes Unit
Additional receipts must be listed on Page 2 with
450 Columbus Blvd Ste 1
totals brought forward to Page 1.
Hartford CT 06103-1837
If the product was transported by vessel, list the barge
or ship name.
Part 3 - Disbursements
List all disbursements of gasoline from the terminal.
Additional disbursements must be listed on Page 3
with totals brought forward to Page 1.
If the product was transported by vessel, list the barge
or ship name.
Form MVF-3 Back (Rev. 02/17)
Page 4 of 4
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