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Last Name Spouse s Social Security Number Claimant Business Name First Name MI Spouse s First Name MI Mailing Address City State Fax Number ( ) - Avg Price Per Gal (Clear Diesel and Kerosene) See Instructions ZIP Code Avg Price Per Gal (Gasoline) See Instructions Email Address The refund claim must be filed within one year of the date of purchase or April 15 following the year of purchase, whichever is later. Form.

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Related content

Form 4923 - Non-Highway Use Motor Fuel Refund...
The refund claim must be filed within one year of the date of purchase or April 15...
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12 CSR 10-6.100 - Motor Fuel Tax Exemption for...
1. The operator must submit the claim on a Form 4923 Non-Highway Use Motor Fuel Refund...
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2014 Oklahoma Resident Individual Income Tax Forms...
• Forms, schedules or other documentation to substantiate any change made on the amended...
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