Form Mvf 31 - Motor Fuel Refund Permit Application Page 2
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1
2MVF 31
Rev. 12/08
Page 2
11. Are you subject to sales tax?
Yes
No If no, you must state a statutory reason. Be specifi c.
You are required to maintain all records relating to fuel purchases and usage for a period of four years from the date of the
purchase of the fuel. This application will not be processed unless all lines are completed and the application is signed and
dated.
Federal Privacy Act Notice
Because we require you to provide us with a Social Secu-
5703.057 and 5747.08 authorize us to request this infor-
rity number, the Federal Privacy Act of 1974 requires us
mation. We need your Social Security number in order to
to inform you that providing us with your Social Security
administer this tax.
number is mandatory. Ohio Revised Code sections 5703.05,
I declare under penalties of perjury that this application (including any accompanying statements) has been examined by
me and to the best of knowledge is a true, correct and complete application
Signature
Title
Date
Return completed application to the: Ohio Department of Taxation
Motor Fuel Tax Refund Unit
P.O. Box 530
Columbus, OH 43216-0530.
Retain a copy of application. Direct any questions to (855) 466-3921 or fax (614) 644-2816.
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Parent category: Financial