Form Dr-309639 - Application For Refund Of Tax Paid On Undyed Diesel Used For Off-Road Or Other Exempt Purposes Page 7

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DR-309639
R. 01/13
Page 7
Computation of Eligible Gallons Consumed for Unloading Bulk Cargo by
Schedule 1D, Part II
Pumping Worksheet
You must complete and include this schedule with your application to qualify for refund.
(A)
(B)
(C)
(D)
(E)
Number of Unit Type
Unit Type
Total Gallons Consumed by
Percentage Allowed
Refundable Gallons = (C) x (D)
Qualifying Vehicle
for Non-Tax Use
Asphalt Truck
10%
Boom Truck
15%
Bulk Feed Truck
20%
Car Carrier with
10%
Hydraulic Winch
Concrete Pumper
40%
Dump Trailer
15%
Dump Truck
20%
Fertilizer Spreader
35%
Truck
Hot Asphalt
15%
Distribution Truck
Lime Spreader
25%
Motor Fuel Delivery
10%
Vehicle
Milk Tank Truck
30%
Mobil Crane
35%
Pneumatic Tank Truck
15%
Seeder Truck
15%
Spray Truck
15%
Tank Truck
20%
All Others
10%
Total gallons consumed
Total gallons of undyed diesel fuel consumed unloading bulk cargo by pumping. Carry this amount to
Page 2, Part 1 Line 5B and Part ll Section B, Line 8 of this return.

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