Get Form 84

Filling out the Nebraska Non-Ag Use Motor Fuels Tax Refund Claim, Form 84, online can simplify the process of claiming a refund for motor fuels tax paid. This guide provides step-by-step instructions to help you navigate through the form effectively, ensuring all necessary details are accurately entered for a successful submission.

Follow the steps to fill out the Form 84 online

1. Click the ‘Get Form’ button to access the form and open it in the online editor.
2. Enter your Social Security Number or FEIN in the designated field.
3. Fill in the 'Period Covered by this Claim' by entering the beginning and ending dates.
4. Provide your name and address in the 'Name and Address of Claimant' section, including any contact person, their phone number, and email address.
5. Indicate the reason for the claim by selecting from the options provided and attach any supporting documentation required.
6. If applicable, specify whether the fuel was withdrawn from a bulk storage tank used for licensed vehicles by checking 'YES' or 'NO'.
7. Calculate the total refund by entering the gallons, rates, and amounts for each type of fuel claimed and ensure it meets the minimum refund eligibility requirements.
8. Review your calculations and verify that you have included all necessary documentation to support your claim.
9. Sign and date the form in the designated area. Ensure that if a preparer is involved, they also provide their signature and title.
10. After completing all fields, save your changes, and download, print, or share the completed Form 84 as required.

Start filling out your Form 84 online today for a seamless tax refund claim process.