Form Ft-949 - Application For Refund Of Prepaid Sales Tax On Motor Fuel Sold Other Than At Retail Service Stations Page 2

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Page 2 of 2 FT-949 (1/12)
Instructions
Who may use this form
G — a purchase by a governmental entity (New York State or
the United States government)
This application for refund may be used by sellers of motor fuel
Q — a qualified hospital
other than retail service stations (for example, wholesalers and
jobbers), to claim a refund of prepaid sales tax on motor fuel.
X — fuel sold for export outside New York State
O — other (explain)
Refunds of prepaid sales tax may be claimed when motor fuel was
sold and no sales tax was charged because the motor fuel was
Section 2 — Summary of purchases
sold to an exempt purchaser (see Column F below).
You must list and submit copies of invoices for purchases of
This form may not be used to claim a refund for sales of motor
tax-paid motor fuel in quantities equal to or greater than that for
fuel made through retail service stations. Retail service station
which this refund is claimed.
operators must use Form FT-950, Application for Refund of
Prepaid Sales Tax on Motor Fuel Sold at Retail Service Stations, to
Paid preparer identification numbers
obtain a refund of prepaid sales tax.
New York State Tax Law requires certain paid tax return preparers
When to file
and facilitators of refund anticipation loans (RALs) and refund
anticipation checks (RACs) to register electronically with the Tax
Applications for refund must be filed within three years from the
Department. When completing this section, you must enter your
date the tax was payable to the Commissioner of Taxation and
New York tax preparer registration identification number (NYTPRIN)
Finance. Claims should be filed for periods of at least one full
if you are required to have one. (Information on the New York State
month, whenever possible.
Tax Preparer Registration Program is available on our Web site; see
Substantiation
Need help?.) In addition, you must enter your federal preparer tax
identification number (PTIN) if you have one; if not, you must enter
Copies of invoices for all sales for which a refund is claimed must
your social security number (SSN). (PTIN information is available at
be attached to this application. An invoice for an exempt customer
)
must show that customer as the purchaser and payer of record.
Where to file
In addition to invoices for all sales and purchases listed, copies of
the following documents given to you by the purchaser also must
The completed refund application and all required documentation
be submitted with this application for exempt sales to:
should be mailed to:
NEW YORK STATE TAX DEPARTMENT
• An exporter – Form FT-936, Statement of Exportation of Motor
FUEL TAX REFUND UNIT
Fuel by Purchaser
PO BOX 5501
ALBANY NY 12205
• A qualified hospital – Form FT-937, Certificate of Exemption
for Qualified Hospitals, Volunteer Fire Companies and Volunteer
Private delivery services — If you choose, you may use a private
Ambulance Services
delivery service, instead of the U.S. Postal Service, to mail in your
form and tax payment. However, if, at a later date, you need to
• A governmental entity – a copy of the governmental purchase
establish the date you filed or paid your tax, you cannot use the
order, voucher, or contract.
date recorded by a private delivery service unless you used a
Note: When you have purchased motor fuel that you exported,
delivery service that has been designated by the U.S. Secretary
submit evidence to show that the fuel was transported outside the
of the Treasury or the Commissioner of Taxation and Finance.
state as well as a copy of the motor fuel tax return for the state to
(Currently designated delivery services are listed in Publication 55,
which the fuel was exported for sale.
Designated Private Delivery Services. See Need help? for
information on obtaining forms and publications.) If you have used
Failure to submit the required documentation may result in the
a designated private delivery service and need to establish the
return of your application and a delay in the processing of your
date you filed your form, contact that private delivery service for
refund.
instructions on how to obtain written proof of the date your form
was given to the delivery service for delivery. If you use any private
Column instructions
delivery service, whether it is a designated service or not, send the
forms to the appropriate address listed in Publication 55.
Section 1 — Summary of sales
Include on this form only those sales on which no prepaid sales tax
was charged or passed through.
Need help?
Column D — Multiply the amount in Column B by the amount in
Visit our Web site at
Column C and enter the result in Column D.
• get information and manage your taxes online
Column F — Enter the name of the exempt purchaser to whom
• check for new online services and features
you sold motor fuel. Exempt purchasers may only be one of the
following:
Sales Tax Information Center:
(518) 485-2889
• The United States government, its agencies, and
To order forms and publications:
(518) 457-5431
instrumentalities
• New York State, its agencies, instrumentalities, and
Text Telephone (TTY) Hotline
political subdivisions (including school districts)
(for persons with hearing and
speech disabilities using a TTY):
(518) 485-5082
• A qualified hospital
• The purchaser of motor fuel for export
Privacy notification — The Commissioner of Taxation and Finance may collect and maintain personal information
pursuant to the New York State Tax Law, including but not limited to, sections 5-a, 171, 171-a, 287, 308, 429, 475,
Note: If you purchased motor fuel that you exported to another
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).
state for sale in that state, list your name as the customer.
This information will be used to determine and administer tax liabilities and, when authorized by law, for certain tax offset
and exchange of tax information programs as well as for any other lawful purpose.
Column G — Enter the reason for exemption given by the
Information concerning quarterly wages paid to employees is provided to certain state agencies for purposes of fraud
prevention, support enforcement, evaluation of the effectiveness of certain employment and training programs and other
purchaser. Select the appropriate code from the list below:
purposes authorized by law.
Failure to provide the required information may subject you to civil or criminal penalties, or both, under the Tax Law.
This information is maintained by the Manager of Document Management, NYS Tax Department, W A Harriman Campus,
Albany NY 12227; telephone (518) 457-5181.

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