Form Dtf-406 - Claim For Highway Use Tax (Hut) Refund
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1
2DTF-406
New York State Department of Taxation and Finance
Claim for Highway Use Tax (HUT) Refund
(1/13)
Tax Law - Article 21, Section 513
For office use only
Type or print in ink.
Employer identification number
Social security number
Date
(mm/dd/yyyy)
Total refund approved
or
Name of carrier
Audited by
Date
Street address
Approved by
Date
City, village, or post office
State
ZIP code
Approved by
Date
A highway use tax refund claim must be filed within four years from the due date of the tax return or within four years of any erroneous
payment. Indicate the reason for refund of highway use tax (mark an X in the box(es) that apply) and complete the Refund summary
and Certification below:
Form MT-927, Highway Use Tax (HUT) Overpayment Adjustment Notice
(Enter the refund amount on line 2 below and enclose a
1.
copy of Form MT-927.)
2.
Certificate of Registration (C of R) and decal fees paid in error
(Explain below, complete the Refund summary below, and enclose the
duplicate C of R(s) and decal(s).)
3.
Highway use tax paid in error
3a. If an amended tax return is filed on paper, explain below, complete the Refund summary below, and enclose a copy of
your amended tax return.
3b. If an amended tax return is filed using Web File, enter the confirmation number:
and complete the Refund summary below:
Explain below, complete the Refund summary below, and enclose amended tax returns.)
4.
Other (
Explanation for boxes, 2, 3, and 4
(attach additional sheets if necessary)
Refund summary
(attach additional sheets if necessary)
Tax period/C of R number
Amount originally paid
Corrected amount
Refund claimed
1
Total
.............................................................................
1.
(add the Refund claimed column amounts)
2
Amount from Form MT-927 .......................................................................................................
2.
3
Total refund claimed
.......................................................................................
3.
(add lines 1 and 2)
Certification: I certify that the above claim is true, complete, and correct, and that no material information has been omitted. I file these returns with the
knowledge that willfully providing false or fraudulent information with the intent to evade tax may constitute a felony or other crime under New York State
Law, punishable by a substantial fine and possible jail sentence. I also understand that the Tax Department is authorized to investigate the validity of any
information entered on this document.
Printed name of authorized person
Signature of authorized person
Official title
Authorized
person
E-mail address of authorized person
Telephone number
Date
(
)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
Paid
(or yours if self-employed)
preparer
Signature of individual preparing this return
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this return
Preparer’s NYTPRIN
Date
(see instr.)
Mail to: NYS TAX DEPARTMENT
TDAB/FACCTS
W A HARRIMAN CAMPUS
ALBANY NY 12227
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