Form Ft-1007 - Application For Refund Of Prepaid Sales Tax On Highway Diesel Motor Fuel Sold At Retail Service Stations Page 2

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Page 2 of 2 FT-1007 (9/11)
Instructions
Line 2 — Enter the amount of sales tax prepaid to supplier for only
General information
that highway diesel motor fuel sold during the period for which the
This application is to be used by operators of retail service stations
refund is claimed; do not enter the prepaid tax for highway diesel
(including marinas) to claim a refund of prepaid sales tax on
motor fuel purchased but not yet sold.
highway diesel motor fuel.
Line 4 — Enter whatever portion of the amount shown on line 3
Refunds may be claimed when:
that was taken as a credit against sales taxes due on another report
• The prepaid tax on highway diesel motor fuel was more than the
or return.
tax required to be collected from customers on the sale of the
highway diesel motor fuel; or
Section 2 — Summary of diesel motor fuel purchases
• Retail sales were made to exempt purchasers and no sales tax
Enter information only for those purchases for which a refund
was charged on the sale with respect to sales of highway diesel
of prepaid sales tax is claimed and attach all invoices listed. For
motor fuel. Exempt purchasers are limited to New York State and
Column D, enter the appropriate code from Publication 902,
the United States government. Exempt purchasers must provide
Product Codes for Fuels, for the type of fuel purchased.
the service station with the proper documentation to establish
eligibility for exemption, and this document must be kept by the
Where to file
service station. A refund of the prepaid tax will not be granted in
The completed refund application and required documentation
the absence of this proof of exemption.
should be mailed to:
NEW YORK STATE TAX DEPARTMENT
• The prepaid sales tax applies to the sale of undyed kerosene
FUEL TAX REFUND UNIT
sold by a registered distributor to a retail filling station. However,
PO BOX 5501
a retail filling station operator may claim a credit or refund of
ALBANY NY 12205
the taxes it absorbed when it purchased the kerosene and then
Private delivery services — If you choose, you may use a private
resold it without the taxes to consumers for heating purposes in
delivery service, instead of the U.S. Postal Service, to mail in your
containers of 20 gallons or less. To qualify for the credit or refund,
form and tax payment. However, if, at a later date, you need to
the kerosene must be stored in and dispensed from a tank that
establish the date you filed or paid your tax, you cannot use the
is not capable of fueling a motor vehicle (a blocked pump), and
date recorded by a private delivery service unless you used a
the retail filling station operator must keep a detailed record of all
delivery service that has been designated by the U.S. Secretary
sales of the kerosene to consumers for heating in containers of
of the Treasury or the Commissioner of Taxation and Finance.
20 gallons or less.
(Currently designated delivery services are listed in Publication 55,
Designated Private Delivery Services. See Need help? for
Who may use this form
information on obtaining forms and publications.) If you have used
Service stations making retail sales of highway diesel motor fuel
a designated private delivery service and need to establish the
may use this form to claim only a refund of prepaid sales tax on
date you filed your form, contact that private delivery service for
highway diesel motor fuel. This form may not be used to claim a
instructions on how to obtain written proof of the date your form
refund of the diesel motor fuel tax or the petroleum business tax. To
was given to the delivery service for delivery. If you use any private
claim a refund of the diesel motor fuel tax, use Form FT-946/1046,
delivery service, whether it is a designated service or not, send the
Motor/Diesel Motor Fuel Tax Refund Application. To claim a refund
form to the appropriate address listed on Publication 55.
of the petroleum business tax, use Form AU-630, Application for
Reimbursement of the Petroleum Business Tax.
Need help?
When to file
Visit our Web site at
Claims for refund of the prepaid sales tax must be filed within three
• get information and manage your taxes online
years from the date the tax was payable to: Commissioner of
• check for new online services and features
Taxation and Finance.
Claims should be filed for periods of at least one full month,
Telephone assistance
whenever possible.
Miscellaneous Tax Information Center:
(518) 457-5735
Substantiation
To order forms and publications:
(518) 457-5431
To expedite the processing of a refund claim, a claimant must:
• Complete sections 1 and 2 of this application. Attach additional
Text Telephone (TTY) Hotline (for persons with
hearing and speech disabilities using a TTY):
(518) 485-5082
worksheets if necessary.
• Furnish copies of the original purchase invoices showing the
Persons with disabilities: In compliance with the
prepaid sales tax.
Americans with Disabilities Act, we will ensure that our
lobbies, offices, meeting rooms, and other facilities are
Failure to submit the required information may result in the return of
accessible to persons with disabilities. If you have questions
the application and a delay in the processing of any refund.
about special accommodations for persons with disabilities, call
the information center.
Additional documentation may be requested by the Tax Department
upon review of the refund application submitted.
Privacy notification — The Commissioner of Taxation and Finance may collect and maintain
You must keep all records and other supporting documents,
personal information pursuant to the New York State Tax Law, including but not limited to,
including those related to purchases, total sales, exempt sales,
sections 5-a, 171, 171-a, 287, 308, 429, 475, 505, 697, 1096, 1142, and 1415 of that Law; and may
require disclosure of social security numbers pursuant to 42 USC 405(c)(2)(C)(i).
and prepaid sales tax used to complete this refund application for
This information will be used to determine and administer tax liabilities and, when authorized by
a period of at least three years and be able to produce them upon
law, for certain tax offset and exchange of tax information programs as well as for any other lawful
request of the Tax Department.
purpose.
Information concerning quarterly wages paid to employees is provided to certain state agencies
Line instructions
for purposes of fraud prevention, support enforcement, evaluation of the effectiveness of certain
employment and training programs and other purposes authorized by law.
Section 1 — Computation of refund
Failure to provide the required information may subject you to civil or criminal penalties, or both,
under the Tax Law.
Line 1 — Enter the total amount of sales tax required to be
This information is maintained by the Manager of Document Management, NYS Tax Department,
collected on highway diesel motor fuel sold during the period
W A Harriman Campus, Albany NY 12227; telephone (518) 457-5181.
covered by the application.

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