Form Pet 371 - End User Claim For Refund Page 4

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TENNESSEE DEPARTMENT OF REVENUE
END USER CLAIM FOR REFUND (PET 371)
SCHEDULE B: Other Non-Highway Use
Claimant Name: _____________________________________
Claim Period: ________________________
Type of Fuel
Equipment No.
Description
Gallons
Total Gallons
Carry to Line 3-C
INTERNET (11-05)

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