Get Mf 93 Refund Of Montana Diesel Tax Form

I/we hereby declare and represent that the above and foregoing is a true and correct statement showing all Montana tax paid diesel purchased and entirely consumed in a refrigeration reefer unit by the applicant that the invoices included are the original purchase invoices received at the time of purchase and delivery that said claim against the State of Montana is just and wholly unpaid. Paid Preparer s Name Address Signature Date May the Department of Transportation discuss this return with the preparer above Yes No Applicant s Signature Date A claim for a refund that is filed electronically does not require a signature or the original invoices. FOR OFFICE USE ONLY File Location - Entered //- Processed // - Pre-Approved // - Approved // - Postmark Date // - MF-93 Revised 3/2008 List only Montana TAX PAID reefer fuel purchases. MONTANA DEPARTMENT OF TRANSPORTATION Refrigerator Fuel Refund Application Refund of Montana Diesel Tax PO BOX 5895 HELENA MT 59604-5895 Phone 406 444-7664 Fax 406 444-5411 TTY 406 444-7696 www. mdt. mt. gov This form may be filed electronically by e-mail to mdtreferrefunds mt. gov Please read Important Refund Information on Page 2. Time Period for Refund to Applicant s Name Last First MI or Trade Name SSN or Tax ID Occupation Mailing Address Phone City State Zip 4 Tax Rate. 2775 REQUESTED AMOUNTS 1007 Diesel Total Refund Request Original Signature required for processing application If filing your application for refund electronically via e-mail please certify the following statement by checking this box. I/we hereby declare and represent that the above and foregoing is a true and correct statement showing all Montana tax paid diesel purchased and entirely consumed in a refrigeration reefer unit by the applicant that the invoices included are the original purchase invoices received at the time of purchase and delivery that said claim against the State of Montana is just and wholly unpaid* Paid Preparer s Name Address Signature Date May the Department of Transportation discuss this return with the preparer above Yes No Applicant s Signature Date A claim for a refund that is filed electronically does not require a signature or the original invoices. FOR OFFICE USE ONLY File Location - Entered //- Processed // - Pre-Approved // - Approved // - Postmark Date // - MF-93 Revised 3/2008 List only Montana TAX PAID reefer fuel purchases. Name of Montana Dealer from whom the purchase was made Date of Purchase Dealer Invoice or transaction Dealer Name Gallons TOTAL GALLONS TOTAL REFUND AMOUNT Total gallons multiplied by tax rate of. 2775 Important Refund Information Request is valid for Montana tax paid purchases for refrigeration reefer units only. All invoices must be identified by dealer as reefer fuel. Original invoices must be submitted with this form except for a claim for a refund filed electronically. If submitting a claim electronically you may complete page 2 or include a listing of your reefer fuel purchases with the same information requested with your application* A claim for refund that is filed electronically does not relieve the taxpayer of maintaining records upon which the claim for a refund is based* In the event of a fuel tax audit records to support this claim for Refund applications may be filed at any time during the year and as often as you like provided the invoices are within thirty six 36 months of the date of purchase based on the postmarked date the refund is submitted* Any person who requests a refund or credit of motor fuel tax must have evidence that the Montana motor fuel tax was included in the total fuel price paid* Contact Information 406 444-7664 or e-mail mdtreferrefunds mt.