Form Mf-001 - Fuel Tax Refund Claim Page 3

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Section 8 – Taxicab Claim
• TAXICAB SCHEDULE - See definition of Taxicab in the instructions (this page may be photocopied if additional sheets are needed).
(a)
(b)
(c)
(d)
(e)
Beginning
Ending
(f)
(g)
(h)
Vehicle
License
Passenger
Fuel Type
Fleet
Odometer Reading
Odometer Reading
Gallons of
ID Number
Number
Capacity
Fuel Used
Number
(gas, clear diesel,
Date
Mileage
Date
Mileage
CNG, LNG, LPG)
-3-
MF-001 (R. 10-13)
Wisconsin Department of Revenue
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