Form Gt-9 - Gasoline Refund Application Page 2
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2From whom was gasoline purchased?
/
/
/
/
.
Dates of fuel purchases: first
last
Do you have storage facilities for gasoline?
Yes
No. If “Yes,” storage capacity:
gallons.
Non-taxable purpose for which gasoline was used:
Type of business:
Do you apply for any other motor fuel refund(s)?
Yes
No. If “Yes,” indicate which type(s):
Do you owe any Massachusetts state taxes?
Yes
No.
Number of motor vehicles and pieces of equipment owned or operated, including automobiles, trucks, graders, loaders and tractors:
Registered:
Unregistered:
List all unregistered vehicles and equipment below:
Quantity
Type of vehicle or equipment
Gallons used
Total gallons
If more space is needed, attach additional sheets.
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Parent category: Financial