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Get Form 8849 (Schedule 4) (Rev. January 2001). Sales By Gasoline Wholesale Distributors

Shown on Form 8849 EIN or SSN Total refund $ Enter the earliest and latest dates of sale included in this claim. Enter in MMDDYYYY format. Earliest date Latest date Claimant certifies that it bought gasoline, gasohol, or aviation gasoline at a price that included the excise tax. Claimant qualifies as a gasoline wholesale distributor, sold the fuel at a tax-excluded price, and obtained a certificate of ultimate purchaser or proof of export from the buyer. Type of fuel (a) Type of.

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