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Dmvnv.com/mcforms. htm For office use only Fuel Tax Refund Request Form MC45 Postmark Date PART-1 IDENTIFYING INFORMATION / Nevada Account Number Period Beginning Account Name Period Ending Federal Employer Identification Number FEIN Business Mailing Address City State Location of Records Address if different from above Zip Email Address Contact Person Name/Telephone Number Account Number s and Jurisdiction s Issued Registration / IRP Special Fue.

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