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  • Az 96-3004a 2024

Get Az 96-3004a 2024-2026

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.

  1. Press the ‘Get Form’ button to access the AZ 96-3004A in the online editor.
  2. 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.
  3. Enter the applicant name, ensuring correct spelling and format.
  4. Indicate the date dispensed; this date should reflect when the fuel was provided.
  5. 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.
  6. Calculate and input the total gallons claimed for this page, rounding to whole gallons as required.
  7. If you have multiple pages, make sure to transfer the totals from this page to the total gallons claimed (all pages).
  8. Review your entries for accuracy before proceeding.
  9. 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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