Forms and Manuals

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NumberNameTax YearRevision Date
11AK-1 Kerosene Exemption Certificate3/8/2011
1531Fuel Delivered for Marine Use4/23/2014
1536Transporter Report of Deliveries8/27/2010
2796Fuel Tax Registration Change Request2/25/2014
2827Power of Attorney4/23/2014
2879Irrevocable Letter of Credit10/4/2013
2992Fuel Tax Exemption Certificate - Sales to U.S. Government4/15/2014
2994Schedule of Supplier/Permissive Supplier Terminal Rack Removals3/8/2011
3008Schedule of Terminal Operator Disbursements3/10/2011
331Surety Bond10/4/2013
332Cash Bond10/4/2013
4172Assignment of Certificate of Deposit10/4/2013
4707Three Day Import Payment Voucher12/27/2011
4752Distributor's Pool Bond Agreement4/16/2014
4754Schedule of Terminal Operator Receipts3/11/2011
4755Notification of Loss of Motor Fuel3/14/2011
4756Affidavit for Loss of Motor Fuel3/14/2011
4757Distributor's Monthly Tax Report12/27/2011
4758Schedule of Supplier State Diversion Corrections3/14/2011
4759Schedule of Pool Bond - Bond Contributions - 5T3/15/2011
4760Supplier Notification of Uncollectable Tax6/25/2013
4776Federal Government Exemption Certificate3/15/2011
4782Transporter Report3/18/2011
4783Consumer Payment Voucher11/9/2011
4785Schedule of Terminal Operator Inventories Schedule 1/7A3/18/2011
4923Motor Fuel Refund Claim11/20/2013
4924Motor Fuel Refund Application8/7/2013
4925Schedule A - Marine Fuel Purchases By County3/23/2011
5084Agricultural Gas Bulk Sale Exemption Certificate3/23/2011
5085Bulk Deliveries of Agricultural Gasoline3/29/2011
5141Public Mass Transportation Operator Exemption Certificate3/29/2011
5378Agreement to Receive Refund by ACH Transfer1/23/2014
572Supplier/Permissive Supplier's Monthly Tax Report12/27/2011
573Schedule of Supplier Tax-Paid Receipts3/31/2011
574Distributor's Schedule of Receipts3/31/2011
575Terminal Operator Report4/19/2011
587Schedule of Distributor Disbursements4/18/2011
588Schedule C - Auxiliary Equipment Deduction Schedule7/2/2013
591Supplier Schedule of Delinquent Tax Collection12/27/2011
795Missouri Motor Fuel Tax License Application11/15/2011
8AAffidavit for Bad Debt Loss4/23/2014