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Get 72A005 (4-09) APPLICATION FOR APPROVAL Commonwealth Of ...

Nd of Kentucky tax may be obtained on gasoline or diesel fuel purchased to be sold for use in operating watercraft. The applicant must, however, operate a public boat dock, approved by the Department of Revenue, to be entitled to a refund. Name of Business (enter exact business name) Mailing Address P.O. Box or Number and Street Telephone (daytime) ( City or Town ) State ZIP Code E-mail Address Location of Business Number and Street or Highway 1. Indicate type of ownership Individual C.

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