Form Excise 7 - Worksheet For Off-Road Use Of Fuel

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PERIOD:
TAXPAYER NAME:
PERMIT NUMBER:
WORKSHEET FOR OFF-ROAD USE OF FUEL
(Computation of the correct off-road percent of fuel used for agricultural purposes)
DATE
VEHICLE
GAS
DIESEL
MILES
MILES
PERCENT
EXEMPT
GALLONS
GALLONS
OFF RD.
ON&OFF
FOR OFF
GALLONS
ROAD (E / F) G x (C OR D)
A
B
C
D
E
F
G
H
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
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31
You must keep records of actual operations when fuel is used both on-road and off-road.
Fuel used to power a vehicle over the road does not qualify for an exemption and the tax is
due. These gallons should be deducted on line 2 of form DR 7118.
PAGE 4 OF 4
EXCISE 7 (04/98)

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