Phone Number ( ) - ZIP Code Alternate Phone Number Fax Number Avg Price Per Gal (Gasoline) See Instructions Avg Price Per Gal (Clear Diesel and Kerosene) See Instructions ( ) - ( ) - 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 4924 must be on file with the Department or submitted at.
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How to fill out the MO DoR 4923 online
Filling out the MO DoR 4923 form online is an essential step for individuals seeking a refund for motor fuel taxes paid on non-highway use. This guide will walk you through each section of the form, ensuring you provide the necessary information accurately and efficiently.
Follow the steps to complete your MO DoR 4923 form:
- Click the ‘Get Form’ button to access the form and open it in your preferred editor.
- Begin by entering your name, email address, and mailing address in the designated fields, ensuring accuracy for correspondence.
- Provide your Federal Employer Identification Number (FEIN) or Social Security Number where indicated. This information is necessary for the processing of your refund claim.
- Enter your phone number and alternate phone number if applicable. This contact information may be used for any follow-up needed regarding your claim.
- Fill out the average price per gallon for gasoline and clear diesel by calculating the total amount spent and dividing it by the total gallons purchased. Refer to the instructions for specific guidance.
- In the fuel usage section, indicate the total gallons used for each specified purpose. Round all totals to the nearest gallon as instructed. For example, complete lines 1 through 15 based on your usage.
- Calculate the total gallons eligible for the refund and apply the tax rates as specified in the form. Complete lines 19 through 23 for tax calculations pertaining to your fuel usage.
- If opting for direct deposit, fill in your routing number and account number in the designated boxes and select whether it is a checking or savings account.
- Date and sign the form, certifying that all provided information is accurate under penalties of perjury. Ensure your signature is included to avoid delays.
- Review all information for completeness and accuracy before saving the changes. You can then download, print, or share the completed form as required.
Complete your MO DoR 4923 form online today to ensure you receive your refund promptly.
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