Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service Motor Bus - 2013 Page 2

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Form AU-737
Instructions
General Instructions
Your motor vehicle fuels tax refund claim for fuel used during
calendar year 2013 must:
2013 Tax Refund Rates for
Airport Service Motor Bus Only
1.
Be fi led with Department of Revenue Services (DRS) on or
before May 31, 2014; and
January 1, 2013, through June 30, 2013, purchases
2.
Involve at least 200 gallons of fuel eligible for tax refund.
Diesel ........................................51.2¢ per gallon
The appropriate fuel type must be marked on the front of this form
Motor vehicle fuels ..................25¢ per gallon
to process this claim. You must fi le a separate Form AU-737, Motor
Vehicle Fuels Tax Refund Claim, for each motor vehicle fuel type
July 1, 2013, through December 31, 2013, purchases
and claim type.
Diesel ........................................54.9¢ per gallon
Provide a telephone number where DRS can contact you.
Motor vehicle fuels ..................25¢ per gallon
You must indicate your Connecticut Tax Registration Number,
You must file a separate Form AU-737 for each fuel type
Federal Employer Identifi cation Number (FEIN), or Social Security
and each claim type in effect between January 1, 2013, and
Number (SSN) in the space provided.
June 30, 2013. You must also fi le a separate Form AU-737 for
each fuel type and each claim type in effect between July 1, 2013,
Schedule A Instructions
and December 31, 2013.
For all purchases of fuel listed, you must attach a copy of each
numbered slip or invoice issued at the time of the purchase.
The slip or invoice may be the original or a photocopy and must
Additional Information
show:
Mail the completed refund application to:
1.
Date of purchase;
2.
Name and address of the seller which must be printed or rubber
Department of Revenue Services
stamped on the slip or invoice;
State of Connecticut
Excise Taxes Unit
3.
Name and address of the purchaser which must be the name
25 Sigourney St Ste 2
and address of the person or entity fi ling the claim for refund;
Hartford CT 06106-5032
4.
Number of gallons of fuel purchased;
If you need additional information or assistance, call the DRS
5.
Price per gallon; and
Excise Taxes Unit at 860-541-3224, Monday through Friday,
6.
Total amount paid.
8:30 a.m. to 4:30 p.m.
You keep retain records to substantiate your refund claim for at
Forms and Publications: Visit the DRS website at
least three years following the fi ling of the claim and make them
to download and print Connecticut tax
available to DRS upon request.
forms and publications.
Schedule B Instructions
Your refund will be applied against any outstanding DRS tax
liability.
Line 6 - Gross refund: Use the table to calculate the proper tax
refund rate based on when your purchase was made.
Motor bus companies must attach a copy of their Certifi cate of
Public Convenience and Necessity issued under Chapter 244 of
the Connecticut General Statutes with each claim fi led.
Line 6 only - Rounding off to whole dollars: You must round off
cents to the nearest whole dollar on your return and schedules.
If you do not round, DRS will disregard the cents. Round down
to the next lowest dollar all amounts that include 1 through 49
cents. Round up to the next highest dollar all amounts that include
50 through 99 cents.
Form AU-737 Back (Rev. 06/13)

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