Form 637 - Application For Registration (For Certain Excise Tax Activities) Page 3
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63
Form 637 (Rev. 8-2012)
Page
Activity Letter
Additional Information Required
E
Provide the general information for all applicants.
Buyer (other than state or local
government) of gas guzzler
automobiles for ambulance, law
enforcement, or firefighting.
F
Nonprofit educational organization,
1. Provide a general description of the type of educational facility, including faculty,
other than a public school, buying
curriculum, and student body.
taxable tires, certain heavy vehicles,
2. Provide a copy of the IRS determination letter granting exemption from federal income tax.
sport fishing equipment (including
3. List products subject to federal excise tax bought for the exclusive use of the organization
fishing rods and fishing poles), fishing
and how the products will be used in the operation of the organization.
tackle boxes, bows, quivers,
4. List activities (other than educational) conducted by the organization.
broadheads, points, or arrow shafts
for its exclusive use.
Buyer (other than nonprofit
1. List types and weights of tires being bought.
I
educational organization or state or
2. Describe the types of buses (intercity, local, or school) on which the tires are used.
local government) of taxable tires for
3. Describe how the buses are used in the operation of the business.
use on certain intercity, local, or
school buses.
K
Buyer of kerosene for a feedstock
List the type of kerosene being purchased; and describe the product and manufacturing process
purpose.
for which the kerosene will be used as a feedstock.
M Blender of gasoline, diesel fuel
1. List the products bought or produced for blending with gasoline, diesel fuel, or kerosene.
(including a diesel-water fuel emulsion), or
2. List the annual volume of products bought for blending.
kerosene, producing a taxable fuel outside
3. List the annual volume of blended taxable fuel produced.
the bulk transfer/terminal system, including
blenders of alcohol fuel mixtures,
alternative fuel mixtures, biodiesel mixtures,
and renewable diesel mixtures.
Q First retail seller of certain heavy
1. Describe the heavy vehicles you intend to sell.
vehicles.
2. Describe the exempt sales of the heavy vehicles you intend to make.
1. List the annual volume of gasoline, diesel fuel, and kerosene entered into the United States
S
Enterer, position holder, refiner,
or produced.
terminal operator, or throughputter of
2. List the locations and a description of your refineries, terminals, and pipelines.
gasoline, diesel fuel (including a
3. List the names and addresses of any person(s) who will be acting for you as an agent or
diesel-water fuel emulsion), or
broker in entering, buying, selling, or transporting any fuel.
kerosene, or industrial user of gasoline.
4. List the business entities to whom you sell, and with which you buy, trade, transfer, or
exchange any gasoline, diesel fuel, and kerosene.
5. Provide the annual volume of gasoline, diesel fuel, and kerosene you buy, sell, trade,
transfer, or exchange.
1. List the ODCs you import or manufacture for export.
V
Manufacturer, importer, or buyer of
ozone-depleting chemicals (ODCs)
2. List the companies from which you buy ODCs for export.
for export.
3. List the number of pounds for each type of ODC exported in this calendar year and an
estimate for next calendar year.
4. List your export locations, and list your production allowance, consumption allowance,
export allowance, and export percentage as set by the Environmental Protection Agency.
W Operator (other than state or local
1. List the monthly volume of dyed diesel fuel used.
government) of a diesel-powered
2. List the number and types of diesel-powered highway vehicles you own and/or operate
train.
and describe the fueling arrangements for these vehicles.
1. Schematic or map of pipeline locations.
X
Pipeline operator or vessel operator
(including certain deep-draft vessels)
2. Names and addresses of facilities served by pipeline or vessel.
within the bulk transfer/terminal
3. Number, description, and capacities of vessels used to transport taxable fuel.
system.
1. List the quantity, types, and gross take-off weights of all aircraft you own and/or operate.
Y
Buyer of kerosene for its use in
Include the countries of registration. Aircraft that you operate but that are owned by other
commercial aviation (other than
persons should be clearly designated. Information should be included as to the operating
foreign trade).
arrangements.
2. List the average number of operating hours (per month) of each aircraft that is listed in item 1.
Show the number of hours for commercial aviation (other than foreign trade) and noncommercial
aviation.
3. If you maintain kerosene storage facilities, list the location and capacity of each facility.
1. List the annual volume of agri-biodiesel produced in or entered into the United States.
AB Producers and importers of
2. List the locations and a description of your production facilities.
agri-biodiesel.
3. List the names and addresses of any person(s) who will be acting for you as an agent or
broker in entering, buying, selling, or transporting any agri-biodiesel.
4. List the business entities to whom you sell and with which you buy, trade, transfer, or
exchange any agri-biodiesel.
5. Provide the annual volume of agri-biodiesel you buy, sell, trade, transfer, or exchange.
637
Form
(Rev. 8-2012)
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