Get 72a135 4 09

The 72A135 (4-09) form is an application for the Kentucky motor fuels tax refund permit. This guide provides clear instructions on how to complete the form online, ensuring all necessary details are correctly provided for your application.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the 72A135 (4-09) form. This will allow you to begin filling out the application.
2. Indicate whether this is a new application, a duplicate request, or a change to an existing application. If it is a duplicate or change, ensure you provide the current permit number.
3. Enter your full name as the applicant and your Social Security number. If applicable, provide your driver's license number.
4. If you own a business, include the business name and the federal employer identification number (FEIN). Provide your mailing address, including street or P.O. Box, city, county, state, and ZIP code.
5. Type in your daytime telephone number and email address for any necessary correspondence.
6. Select the type of fuel for which you are requesting a refund permit by checking the appropriate boxes (agricultural gasoline, agricultural special fuels, or other nonhighway special fuels).
7. Provide a brief description of the activity for which the refund fuel will be used, indicating if it is agricultural, mining, manufacturing, commercial heating, or other.
8. In the designated space, indicate the total number of acres you own, lease, or rent for agricultural purposes if applying for an agricultural permit.
9. Answer questions regarding the number of licensed motor vehicles you own or operate that use gasoline and diesel fuel. Provide the place of fuel purchase for these vehicles.
10. Indicate whether you maintain a storage tank for motor fuels and specify the type of fuel being stored.
11. List all unlicensed vehicles and equipment that will use refund fuels. Attach additional sheets if necessary.
12. Estimate the number of refund gallons you expect to use each year for agricultural gasoline and special fuels (diesel).
13. List each storage tank you maintain for gasoline or special fuels, detailing its size, location, and its intended use (highway or nonhighway).
14. Confirm whether all refund storage tanks are clearly marked according to the law.
15. Provide the name and address of the licensed distributor from whom your refund motor fuel will be delivered.
16. Input any Kentucky tax account numbers assigned to you for various tax types. Complete all required fields accurately.
17. Indicate whether you filed a Kentucky income tax return for the preceding calendar or fiscal year, answering follow-up questions as needed.
18. Review the certification statement and ensure all information is correct. Sign and print your name and date the application.
19. Once the application is complete, you can save, download, or print a copy for your records before submitting it.

Complete your 72A135 (4-09) application online today to ensure a smooth processing experience.