Fillable Form Op-216 - Special Fuel Tax Return (Page 2 of 3) in pdf

Form OP-216

Instructions

General Instructions

Pay by Mail: Make check payable to Commissioner of

Revenue Services. To ensure payment is applied to your

Complete the return in blue or black ink only.

account, write “Form OP-216” and your Connecticut Tax

Taxpayers must ﬁ le a return for each calendar month by the

Registration Number, optional, on the front of your check.

twenty-ﬁ fth day of the following month. If the due date falls

Be sure to sign your check and paper clip it to the front of

on a Saturday, Sunday, or legal holiday, the next business

your return. Do not send cash. DRS may submit your check

day is the due date. A return must be ﬁ led even if no tax

to your bank electronically.

is due.

Mail this return and schedules with a check to:

Rounding gallons: On your return, you must round off

Department of Revenue Services

fractions of a gallon to the nearest whole gallon. Round

State of Connecticut

down to the next lowest whole gallon all fractions of a gallon

PO Box 5031

less than a half gallon. Round up to the next highest whole

Hartford CT 06102-5031

gallon all fractions of a half gallon or more.

You must round off cents to the nearest whole dollar on

Special Instructions for Sellers of Certain

your return and schedules. If you do not round, DRS will

Alternative Fuel

disregard the cents. Round down to the next lowest dollar

Effective for sales made on or after July 1, 2008, sales

all amounts that include 1 through 49 cents. Round up to

of compressed natural gas, liqueﬁ ed petroleum gas, and

the next highest dollar all amounts that include 50 through

liqueﬁ ed natural gas (alternative fuels) are subject to motor

99 cents. However, if you need to add two or more amounts

vehicle fuels tax at 26¢ per gallon. When selling such fuels

to compute the amount to enter on a line, include cents and

in a gaseous form, see PS 92(10.1), Tables and Equivelents

round off only the total.

for Natural Gas and Propane for Motor Vehicle Fuels Tax

Pay Electronically: Visit to use the

Purposes.

Taxpayer Service Center (TSC) to make a direct tax

payment. After logging onto the TSC, select the Make

Payment Only option and choose a tax type from the drop

down box. Using this option authorizes the Department of

Revenue Services (DRS) to electronically withdraw from

your bank account (checking or savings) a payment on a

date you select up to the due date. As a reminder, even if

you pay electronically you must still ﬁ le your return by the

due date. Tax not paid on or before the due date will be

subject to penalty and interest.

Declaration: I declare under penalty of law that I have examined this return (including any accompanying schedules and statements)

and, to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false

return or document to DRS is a ﬁ ne of not more than $5,000, imprisonment for not more than ﬁ ve years, or both. The declaration of a

paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.

Taxpayer signature

Title

Date

Print taxpayer’s name

Telephone number

Taxpayer Social Security Number (SSN)

Paid preparer’s signature

Preparer’s address

Preparer’s SSN or PTIN

Form OP-216 (Rev. 06/13)

Page 2 of 3

Form Op-216 - Special Fuel Tax Return Page 2

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