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Get Gas Tax Refund For Federal Agency Form

(month/year) (month/year) Name of Federal Agency: Federal ID: Address: Telephone No.: City & State: Zip Code: When To File Claim A claim for a refund of motor vehicle fuel (gasoline/gasohol) taxes of $5.00 or more may be led by an agency of the United States government . A claim covering tax on motor vehicle fuel purchased during calendar year 2005, may be led at the following times: a. Any time between January 1, 2006 and June 30, 2006. b. Any time during the year th.

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