Motor Fuels Refund Application
MFA-20
page 2
Fuel Purchased
Seller's ID# &
Product
Purchased From
Date
Total Gallons
Phone #
1
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2
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3
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4
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5
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attach rider if you have more than 5 suppliers
Fuel Sold
Buyer's ID# &
Product
Sold To
Date
Total Gallons
Phone #
1
(
)
-
2
(
)
-
3
3
(
(
)
)
-
4
(
)
-
5
(
)
-
attach rider if you have more than 5 customers
Description of Exemptions
Diesel used in passenger vehicles
Diesel fuel used to propell motor vehicles with a GVWR of 5,000 pounds or less.
1
Certain Autobuses
2
Operating autobusses over the highways of this State under the provisions of 48:16-25 of the Title Public Utilities
and pursuant to R.S. 48:4-1 and 48:4-3
Aircraft
Operating any type of aircraft
3
Tractors & Farm machinery
Operating agricultural tractors not used on a highway or equipment used in the operation of a farm
4
Off-road use of On-road vehicles
Operation of highway motor vehicles exclusively on private property
5
Operation of stationary machinery and vehicles or implements not designed for the use of transporting persons
Non-highway equipment
6
or property on highways includes pumps, mixers, cranes, carriers, forklifts, industrial or construction vehicles,
refrigerator units etc
Cleaning
Fuel used as a solvent for cleaning
7
Fire engines or fire fighting aparatus Operation of fire engines or fire fighting aparatus
8
Ambulances & First Aide
Operation of ambulances or also emergency vehicles used exclusively by volunteer first-aid or rescue squads
9
Vehicles exclusively on rails
Operation of vehicles that run exclusively on rails
10
Heating and Lighting
Operation of heaters or generators for lighting equipment
11
Motor Boats for BSA or Sea Scouts
Operating motor boats or vessels used exclusively for Sea Scout Training by a duly chartered unit of the Boy Scouts
12
Exports to other states or countries
Bulk removal of fuel from this state to another state or country
13
Water craft for approved usage
14
Operating watercraft for oystering, clammin, commercial fishing, carrying fishing parties for hire, or sightseeing
excursions.
Rural Free Delivery
Rural free delivery carrier in the dispatch of official business
15
Sales to Governmental Entities
Sales to a federal governmental agency, or an agency of the governments of this state or its political subdivisions
16