Form 75 - Idaho Fuels Use Report
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5IDAHO FUELS USE REPORT
F
75
O
R
EFO00055
M
10-10-08
Social Security Number
Name
PLEASE
PRINT
Assumed Business Name (DBA)
OR
Federal Employer Identification Number
TyPE
Address
City, State, and Zip Code
State use only
Beginning ______, _______ and ending ▪ ______, _______
Section I.
FILING PERIOD
If you have already claimed a refund of this tax from the Tax Commission on another Form 75,
do not complete this form.
Section II.
BUSINESS ACTIVITIES
Mark each box below that describes the business activities of your company.
1. ▪
Farming
6.
▪
Landscaping & tree service
11. ▪
Golf course
2. ▪
Logging
7.
▪
Well drilling
12. ▪
Outfitter
3. ▪
Construction
8.
▪
Equipment rental/leasing
13. ▪
Mining
4. ▪
Trucking
9.
▪
Concrete/asphalt/gravel
14. ▪
Other (describe) ________
5. ▪
Manufacturing
10. ▪
Excavating
Section III.
NONTAXABLE USE
Mark each box below that describes the nontaxable use(s) to claim a refund of fuels taxes.
Idaho TaX-PaId special fuels (diesel, propane, or natural gas) used in
*Idaho TaX-PaId gasoline used in
1. ▪
Stationary engines
10. ▪
Stationary engines
Unregistered equipment (list) ____________________
Unregistered equipment (list) ________________
2. ▪
11. ▪
3. ▪
Refrigeration unit with separate tank
12. ▪
Refrigeration unit with separate tank
Intrastate motor vehicles off-highway miles (attach Form 75-IMV)
IFTA auxiliary engine allowance (attach Form 75-IC)
4. ▪
13. ▪
5. ▪
IFTA power take-off and auxiliary engine allowances
14. ▪
Intrastate motor vehicle auxiliary engine
(attach Form 75-IC)
allowance (attach Form 75-IMV)
6. ▪
Intrastate motor vehicle power take-off and auxiliary engine
15. ▪
Aircraft (see instructions)
allowances (attach Form 75-IMV)
16. ▪
Commercial motor boat
Other (describe) ___________________________
7. ▪
Federal, state, and local government motor vehicles
17. ▪
8. ▪
Aircraft (see instructions)
* Gasoline used in a registered motor vehicle (government or
9. ▪
Other (describe) _______________________________
privately owned) does not qualify for a refund of the gasoline tax.
Section IV.
TOTAL REFUND OR TAX DUE
Complete the sections on page 2 that apply to you (Sections V, VI, or VII) before completing this section.
1. Gasoline tax refund from page 2, Section V, line 5 ....................................................................................... ▪ $
2. Special fuels tax refund from page 2, Section V, line 6 ................................................................................ ▪
3. Gasoline tax due from page 2, Section VI, line 4.......................................................................................... ▪
4. Special fuels tax due from page 2, Section VI, line 5 ................................................................................... ▪
5. Total of use tax due from page 2, Section VII, line 8 .................................................................................... ▪
I paid the use tax with my sales/use tax return. Permit number _____________________________
6. Refund. If the total of lines 1 and 2 is greater than the total of lines 3, 4, and 5,
enter the difference .................................................................................................................. ▪
7. Tax Due. If the total of lines 1 and 2 is less than the total of lines 3, 4, and 5,
enter the difference .................................................................................................................. ▪
.
Within 180 days of receiving this return, the Idaho State Tax Commission may discuss this return with the paid preparer identified below.
Under penalties of perjury, I declare that to the best of my knowledge and belief this return is true, correct, and complete. See instructions.
Call 334-7660 in the Boise area or (800) 972-7660 toll free.
Authorized signature
Date
SIGN
▪
MAIL TO:
HERE
Title
Daytime phone
Idaho State Tax Commission
PO Box 76
Boise ID 83707-0076
Paid preparer's signature
Preparer's EIN, SSN or PTIN
▪
Address and phone number
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