Form Pda-49b Schedule - Special Fuel Credits

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PDA-49B
Special Fuel Credits Schedule
For undyed fuel withdrawals from Minnesota bulk storage.
Firm name (same as on license)
Minnesota tax ID number
Month/year
Check one (complete a separate PDA-49B for each category):
Master jobber
Heating sales (residential)
U.S. government
Exported
Undyed Fuel Withdrawals Only
Explanation
Date
Ticket Number
Gallons
(give complete information, including any names, addresses and zip codes)
Total gallons (enter on PDA-49, line 5)
Phone: 651-296-0889 (TTY: Call 711 for Minnesota Relay). Email: petroleum.tax@state.mn.us
(Rev. 8/11)

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