963004A R10/18azdot.govRefund Period Beginning Date*Mail Drop 521M Fuel Tax Refund Compliance Unit PO Box 2100 Phoenix AZ 850012100 6027128727 Refund Period Ending Date*ClearBULK USE FUEL LOG SUMMARY.
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How to fill out the AZ 96-3004A online
Filling out the AZ 96-3004A can seem daunting, but with the right guidance, you'll find it manageable. This comprehensive guide will walk you through each section of the form step-by-step, ensuring you provide all necessary information straightforwardly.
Follow the steps to successfully complete the form online.
- Press the ‘Get Form’ button to access the AZ 96-3004A in the online editor.
- Fill in the refund period beginning date and the refund period ending date. Make sure these dates match those on the Bulk Use Fuel Refund Application form 96-300.
- Enter the applicant name, ensuring correct spelling and format.
- Indicate the date dispensed; this date should reflect when the fuel was provided.
- Complete the bulk use fuel log summary schedule by entering the customer account number and providing the necessary details for BFLC gallons dispensed and BFEX gallons dispensed.
- Calculate and input the total gallons claimed for this page, rounding to whole gallons as required.
- If you have multiple pages, make sure to transfer the totals from this page to the total gallons claimed (all pages).
- Review your entries for accuracy before proceeding.
- Once all fields are correctly filled out, save your changes. You can also download, print, or share the completed form as required.
Start completing your AZ 96-3004A form online today for a smooth filing experience.
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