Form Mf-54a - Alternative Fuel Tax Credit/deduction (Used For Tax Paid Fuel Blended To A Lower Tax Rate)

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KANSAS DEPARTMENT OF REVENUE
CUSTOMER RELATIONS
915 SW HARRISON ST.
TOPEKA, KANSAS 66625-8000
Phone Number: (785) 368-8222
Fax: (785) 296-4993
ALTERNATIVE FUEL TAX CREDIT/DEDUCTION
(USED FOR TAX PAID FUEL BLENDED TO A LOWER TAX RATE)
COMPANY NAME
LICENSE NO.
TYPE OF SCHEDULE
MONTH & YEAR
PC - TYPE OF PRODUCT
Ethanol - 241
Gasohol - 124
Gasoline - 065
Alcohol - 123
(10)
(11)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
POINT OF
NAME OF
CARRIER
PURCHASED
MANIFEST MANIFEST
GROSS
NET
PC
ORIGIN
DESTINATION
CARRIER
FEIN
MODE
CITY, STATE
CITY, STATE
FROM
DATE
NUMBER
GALS
GALS
1. Total net gallons of ethanol (E100), gasoline and gasohol that motor vehicle fuel tax at the rate of $.24 has been paid.
2. Total Deduction (Multiply Total gallons eligible for credit from line 1 by 29.167% or .29167 and enter it in this box).
Place the amount from line 2 above on line 3 of MF-54.
MF-54A
SEE INSTRUCTIONS ON REVERSE
(Rev. 09/08)

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