Form 3750, Page 2
Instructions for Form 3750, Schedule of Diversion
General Instructions
Column 3: Mode of Transport - Enter one of the following:
This schedule provides detail in support of the amount shown as diver-
J = Truck
R = Rail
sions on your return. Each diversion should be listed on separate lines
B = Barge
S = Ship (Great Lakes or ocean marine vessel)
with a separate schedule for each product code. You must use a separate
schedule for diversions to Michigan, from Michigan, and for each
Column 4: Point of Origin - NA
revised destination State/Province/Country.
Column 5: Terminal Control Number or City & State.
A diversion number must be obtained prior to diverting fuel either TO or
11A- Enter the Terminal Control Number or City and State of the original
FROM Michigan. To obtain a diversion number, go to If
destination of the motor fuel product being diverted.
you do not have Internet access, you can call the Motor Fuel Division at
11B - Enter the Terminal Control Number or City and State of the
(517) 636-4600.
revised destination of the diverted motor fuel product.
Three Day Payment
Column 6: Purchaser's Name - Enter the name of the company the
Tax is due on diverted motor fuel within 3 business days after either of
product was sold to.
the following events:
Column 7: Purchaser's FEIN - Enter the FEIN of the company the
Diversions on all fuel that is intended for export from Michigan but
product was sold to.
diverted to a destination within Michigan.
Column 8: Date Shipped - Enter the date the product was shipped.
Diversions by unlicensed importers on all fuel acquired outside
Michigan, not intended for a Michigan destination but diverted to
Column 9: Document Number - Enter the bill of lading number from the
Michigan.
manifest issued at the terminal when product is removed over the rack.
In the case of bulk plant removals, use the withdrawal bill of lading.
Form 3778- Three Day Payment Voucher may be obtained through
Treasury's Web site at
Column 10: Net Gallons - Enter the net amount of gallons diverted. Use
whole numbers only.
Payments not postmarked within three business days of the event are
subject to 100% penalty. Form 3778, Three Day Payment Voucher must
Column 11: Gross Gallons - Enter the gross amount of gallons diverted.
accompany your payment.
Use whole numbers only.
Product Codes
Column 12: Billed Gallons - Enter the number of gallons to be billed to
Enter the appropriate code on page 1. See Treasury’s Web site for a list
the customer. Use whole numbers only.
of Product Codes.
Column 13: Diversion Number - Enter the number issued by the taxing
Column Instructions
agency or its agent that authorizes the diversion of the product from the
Column 1 and 2: Carrier - Enter the name and FEIN of the company that
destination state that is on the original bill of lading.
transports the product.