Form 72a006 - Motor Fuel Tax Refund Application Public Boat Dock (Motor Fuel Sold Exclusively For Use In Motorboats) (Krs 138.445)

ADVERTISEMENT

72A006 (12–09)
MOTOR FUEL TAX REFUND APPLICATION
Commonwealth of Kentucky
Public Boat Dock
DEPARTMENT OF REVENUE
(Motor Fuel Sold Exclusively for Use in Motorboats)
(KRS 138.445)
J–
Name of Applicant
Account Number
DBA
For the Period Ending
(
)
Mailing Address
Telephone Number
P.O. Box or Number and Street
E–mail Address
City
County
State
ZIP Code
Social Security Number
Federal Employer
Identifi cation Number (FEIN)
INSTRUCTIONS
• All refund claims must be fi led on a calendar quarter or calendar year basis. • Include only Kentucky tax–paid fuel purchased
for the purpose of operating or propelling motorboats. • An original invoice for each purchase for which tax refund is
claimed must be attached to the application and include the date of purchase, invoice number, name of vendor, number of
gallons, Kentucky excise tax charged and total price. • Mail completed application to Kentucky Department of Revenue,
Motor Fuels Tax Compliance Section, P.O. Box 1303, Station 63, Frankfort, Kentucky 40602–1303. • For additional
information, call (502) 564–3853. • A refund bond must be on fi le with the Department of Revenue before tax can be
refunded. • You will receive a refund of 100 percent of the excise tax paid. (Reminder: Per KRS 139.500(2), report
the 6 percent use tax on the sales price of your motor fuel sales on the Kentucky sales and use tax return.)
Gasoline
Special Fuels
1. Number of gallons purchased (attach original invoices) ..........................................
2. Motor fuel tax refund requested (line 1 times rate per gallon
shown on invoice) ....................................................................................................
$
$
I, the undersigned, a principal offi cer of the above–named applicant, have examined this application and it is, to the best of my knowledge
and belief true, correct and complete.
Signature
Title
Print Name
Date

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 72a006 - Motor Fuel Tax Refund Application Public Boat Dock Form 72a006 - Motor Fuel Tax Refund Application Public Boat Dock Financial
Form Lst - Local Services Tax - Refund Application - City Of Meadville - 2007 Form Lst - Local Services Tax - Refund Application - City Of Meadville - 2007 Legal
Form Cig-2 - Cigarette Tax Refund Application - Maine Revenue Services Form Cig-2 - Cigarette Tax Refund Application - Maine Revenue Services Financial
Form Gt-9m - Gasoline Tax Refund Application Form Gt-9m - Gasoline Tax Refund Application Financial
Form Cig-2 - Cigarette Tax Refund Application Form Cig-2 - Cigarette Tax Refund Application Financial
Form Wvmft-509b-retker - Motor Fuel Excise Tax Refund Application For Retailers Of Undyed Kerosene Sold For Home Heating Use (from A Blocked Pump) Form Wvmft-509b-retker - Motor Fuel Excise Tax Refund Application For Retailers Of Undyed Kerosene Sold For Home Heating Use (from A Blocked Pump) Financial
Form 72a006 (10-06) - Motor Fuel Tax Refund Application Form 72a006 (10-06) - Motor Fuel Tax Refund Application Financial
Form 72a006 - Motor Fuel Tax Refund Application Form 72a006 - Motor Fuel Tax Refund Application Financial
Form Wv/mft-509b Home - Motor Fuel Excise Tax Refund Application For Consumers Of Clear Kerosene Used For Heating Of Public/private Dwellings Form Wv/mft-509b Home - Motor Fuel Excise Tax Refund Application For Consumers Of Clear Kerosene Used For Heating Of Public/private Dwellings Financial
Form 72a006 - Motor Fuel Tax Refund Application Form 72a006 - Motor Fuel Tax Refund Application Financial

Related Categories

Parent category: Financial
Download
Go