Form Pdr-1av - Aviation Fuel Tax Claim For Refund
Download a blank fillable Form Pdr-1av - Aviation Fuel Tax Claim For Refund in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Pdr-1av - Aviation Fuel Tax Claim For Refund with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2PDR-1AV
Aviation Fuel Tax Claim for Refund
Licensed distributors: Use this form to calculate the claim for refund on Form PDA-49, line 11 . Keep with your tax records .
Unlicensed distributors: Complete and mail this form to the address provided at the bottom of this form .
Check if filing:
Original claim, or
Amended claim
Period (enter month and year)
Enter Minnesota tax ID (if a business)
or Social Security number (if an individual)
Name
Address
FAA registration number
N
City
State
Zip code
A
B
C
Filing for
Filed for
Total Filed to Date
This Period
Prior Periods
(A + B)
1 Gallons purchased . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Adjustments (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Net gallons purchased (subtract line 2 from line 1) . . . . . . . . . . 3
4a Gallons used in motor vehicles or sold to others . . . . . . . . . . . 4a
4b Gallons used in other than motor vehicles or aircraft . . . . . . . 4b
5 Balance (subtract the sum of lines 4a and 4b from line 3) . . . . 5
A
B
C
Refundable Gallons
Rate
Amount (A x B)
6 Enter refundable gallons for this period purchased during
the calendar year for the quantities below (see instructions):
.03
a more than 50,000 gallons and up to 150,000 gallons . . . 6a
.04
b more than 150,000 gallons and up to 200,000 gallons . . . 6b
.045
c more than 200,000 gallons . . . . . . . . . . . . . . . . . . . . . . . . . 6c
.05
d gallons from line 4b, column A . . . . . . . . . . . . . . . . . . . . . . . 6d
7 Automobile gas used in aircraft . To determine tax rate, see
instructions on back of this form (if this is your first claim,
attach a copy of STC certificate and FAA-337) . . . . . . . . . . . . . . 7
8 Total refund due for this period (add lines 6a-6d, column C, and line 7, column C) . . . . . . . . . . . . . . . . . . . . 8
Licensed distributors: Enter amount from line 8 on Form PDA-49, line 11 . Keep this form with your tax records .
Unlicensed distributors: To have your refund direct deposited, enter the following . Otherwise, you will receive a check .
Account type:
Routing number
Account number
S
Checking
avings
I declare under the penalties of criminal liability for willfully making any false statements, that this claim has been examined
by me and to the best of my knowledge and belief is true and complete for the taxable period stated.
Authorized signature
Title
Date
Daytime phone
Mail to Minnesota Revenue, Petroleum Taxes, Mail Station 4108, St . Paul, MN 55146-4108
Unlicensed distributors:
Phone: 651-296-0889 (TTY: Call 711 for Minnesota Relay) . Email: petroleum .tax@state .mn .us
(Rev . 3/13)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial