Form Wv/mfr-14 - Schedule D - Motor Fuel Exise Tax - Refund Worksheet - Gasoline/special Fuel

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WV/MFR-14 -Worksheet
REV 2/11
WEST VIRGINIA STATE TAX DEPARTMENT
Tax Account Administration Division, Excise Tax Unit
PO Box 2991
Charleston, WV 25330-2991
MOTOR FUEL EXCISE TAX
Schedule D
Refund Worksheet –
GASOLINE / SPECIAL FUEL
Please Print or Type
Note: This worksheet is to assist in the calculation of the
8-Digit Acct No or FEIN:
gallons reported for refund on the West Virginia Motor
Fuel Refund Application – WV/MFR-14. It is
Name:
recommended that you submit a copy with the refund
DBA:
application as supporting documentation and maintain a
completed copy in your files for audit purposes.
Address:
City:
Filed For Period Ending:____________________________
State:
Zip:
Calculation of Gallons
Gasoline
Special Fuel
A.
Opening Inventory Gallons (Must agree with closing inventory on
last application)
Total Gallons Purchased or • For IFTA licensed vehicles, WV
B.
Taxable Gallons (IFTA Fuel Summary Report, Line E) • For both
IFTA and non-IFTA, when IFTA Net Taxable Gallons (IFTA Fuel
Summary Report, Line G) is a negative amount, you must subtract
the IFTA net gallons from your WV tax-paid purchases
Total Gallons (Line A plus Line B)
C.
Closing Inventory Gallons
D.
Accountable Gallons (Line C minus Line D)
E.
F.
Gallons Used On Highway, *If filing for Power Take Off (PTO)
STOP,
transfer gallons to Section 4 of the WV/MFR-14
Gallons Sold, *If filing for Retail/Clear Kerosene
STOP,
transfer
G.
gallons to Section 1 of the WV/MFR-14
H.
GALLONS CLAIMED FOR REFUND (Line E minus F & G)
Transfer gallons to the West Virginia Motor Fuel Tax Refund Application –
WV/MFR-14 for Calculation of Refund.

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