Form L-303 - Information Return For Refund Gasoline Used In Farm Operations

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STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
L-303
INFORMATION RETURN FOR REFUND
GASOLINE USED IN FARM OPERATIONS
(Rev. 12/17/09)
4010
Mail To:
South Carolina Department of Revenue,
Motor Fuel, Columbia, SC 29214-0139
File Number
County
Name
Address
City
State
Zip Code
County
Phone:
Social Security No. or FEIN
The information below is required in order to establish a basis for obtaining a refund of user fee paid on gasoline
purchased for use in tractors and other farm equipment used exclusively for farm operations. For assistance please call
(803) 896-1990.
(1) Equipment in which refund gasoline will be used: (List gasoline powered equipment only.)
Provide attachment if additional space is needed.
Make
Model
Motor Number
Horse Power
Per Hour
Consumption
(2)
Details of gasoline storage equipment:
Type of Container
Gallonage of Container
Location of Container
(3)
Farm Operation Information:
Kind of Crops
Number of Acres
Kind of Crops
Number of Acres
**
Please list
farm operation
(1)
(4)
if other than
(2)
(5)
crop production
(3)
(6)
**Other
(4)
Estimated gallons of refund gasoline to be used yearly:
gallons.
Date:
Signature:
40101024

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