Form Sft-9t - Special Fuels Refund Application Page 2
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1
2Computation Schedule
Schedule must be filled out in its entirety. Enter each toll slip on a separate line. Check rate to be used in col. 8. For vehicles in Classes
1 and 2, check “15”; for vehicles in Classes 3 through 9, check “5.” If more space is needed, attach additional computation schedules.
If fuel is purchased outside the Commonwealth prior to entering the turnpike, do not include that travel for refund.
col. 1
col. 2
col. 3
col. 4
col. 5
col. 6
col. 7
col. 8
col. 9
Gallons
Gallons
Toll stations
Date of fuel
purchased
Mileage on
Vehicle class
Divide by
consumed
purchase
Date of toll
and/or placed
Entry
Exit
turnpike
(copy from
rate (check
(divide col. 6
or transfer
receipt
in vehicle(s)
Number
Number
(compute)
toll receipt)
rate used)
by col. 8)
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
Total gallons. Add col. 9. Enter here and in Tax Refund Computation, line 2
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Parent category: Financial