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Forms & Publications Online
Most forms can be filled in on the screen (see bottom of this page).
Name
Form Number
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Purpose
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Size
Pages
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To list diesel fuel purchases eligible for the 8˘ per gallon light class/exempt use class vehicle rebate.
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52KB
1 pg
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To compile the gallons claimed for a refund form a specific location and refund period. The total should be transferred to the Vendor Summary Detail, 96-0152A.
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95KB
1 pg
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For a licensed vendor to request the 8˘ per gallon tax refund on diesel fuel sold or dispensed into light class or exempt use class vehicles.
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71KB
1 pg
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A summary of the Use Fuel Vendor Branch Worksheet, 96-0152B, in support of Use Fuel Vendor Refund Application.
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75KB
1 pg
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- Most documents are in Adobe portable document format ( pdf ) and can be filled in on the screen, then printed. You will need the free Adobe Reader (version 4.0 or higher) to view, fill and print correctly.
- Some forms must be signed before a notary public or ADOT agent/representative
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Some documents have been translated from original text written in English. These translations are unofficial and not binding on this state or a political subdivision of this state.
Algunos documentos han sido traducidos del texto original escrito en inglés. Estas traducciones no son oficiales y no son vinculantes a este estado o subdivisión política de este estado.
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