Whether you are a business involved in the marine industry or deal with pollutants subject to taxes in Florida, understanding the DR-309660 form is crucial for optimizing your financial strategies. The Florida Department of Revenue provides this form as an Application for Pollutants Tax Refund, a critical document for any entity looking to reclaim funds from the state. Designed with specificity for pollutants tax recovery, the form meticulously guides applicants through a process requiring detailed information on pollutants exported or consumed in a manner that merits a tax refund. Scheduled to be filed quarterly, this form demands careful attention to the complete provision of applicant identification, tax details, and the precise calculation of refunds sought, along with a substantiating inventory and export details. Not only does it cover petroleum products and solvents but also extends to motor oils, lubricants, and ammonia-containing products, offering a substantial breadth of tax refund opportunities. Moreover, the document underscores the importance of punctuality, documentation, and the potential implications of submission errors. With its comprehensive structure, the DR-309660 form embodies the bridge between stringent regulatory mandates and the financial recuperation available to businesses within Florida’s pollutant management framework.
Question | Answer |
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Form Name | Form Dr 309660 |
Form Length | 6 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min 30 sec |
Other names | dr309660 florida department of revenue power of attorney form |
Florida Department of Revenue
Application for Pollutants Tax Refund
R. 01/11
Rule
Florida Administrative Code
Effective 01/11
Complete Parts 1 through 6 and attach appropriate documentation. Type or print clearly. Your refund application will be rejected if red boxes are not completed in full.
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Typed Example |
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Use black ink. |
Mail application to: Refund Subprocess
Florida Department of Revenue PO Box 6490
Tallahassee FL
Part 1 Fill in
Name of applicant: |
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Mailing street address: |
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Mailing city, state, ZIP: |
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Location street address: |
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Location city, state, ZIP: |
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Business telephone number |
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(include area code): |
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Fax number (include area |
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code optional): |
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Home telephone number (include area code):
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Part 2
Sign and date this form.
Under penalty of perjury, I swear or afirm that this application, including supporting documentation, has been examined by me and is true and correct for the period stated and is made in good faith according to Chapter 206, Florida Statutes (F.S.), and the regulations issued under authority thereof.
Signature of applicant/representative:
Date:
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Print name: |
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Title: |
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Important - A Florida Department of Revenue Power of Attorney (Form |
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refund request is submitted by the applicant’s representative. |
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Representative’s phone number: |
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Part 3 |
$ |
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Enter amount of refund. |
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Part 4 |
Identiication number of applicant: |
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Provide the |
Federal employer identiication number: |
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Fuel tax license number: |
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identiication number |
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under which the tax |
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was paid. If you do not |
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have a federal employer |
Business partner number: |
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identiication number, |
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provide your social |
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security number. |
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Part 5 |
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Enter the period shown |
Period |
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to |
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on the tax return(s) |
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used to report the tax |
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and/or when it was |
Paid |
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paid. |
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M M |
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Part 6 |
Reasons for this refund (additional sheets may be added): |
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FOR DOR USE ONLY |
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DOC TYPE 76 |
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Clarify and speed |
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REFUND |
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up your refund claim |
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by providing a brief |
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Approval Amount $ _________________________________ |
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explanation. |
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Date ____________________________________________ |
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Approved by______________________________________ |
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Review |
Refund Amount $ __________________________________ |
Date ____________________________________________ |
Approved by ______________________________________ |
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Florida Department of Revenue |
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Application for Pollutants Tax Refund |
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R. 01/11 |
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Page 2 |
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Coastal Protection |
Water Quality |
Inland Protection |
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Schedule A. |
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1.Beginning Inventory (Must agree with closing inventory from prior quarter)
2.Purchases (From completed Schedule 1 – Schedule of Purchases)
3.Ending inventory (Use this igure for beginning inventory on next claim)
4.Barrels consumed ( Add Lines 1 and 2. Subtract Line 3)
5.Barrels not eligible for refund
6.Barrels claimed for refund (Line 4 minus Line 5 )
7. Refund (Line 6 multiplied by the rate per barrel) |
$ |
$ |
$ |
Schedule B. |
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8.Beginning Inventory (Must agree with closing inventory from prior quarter)
9.Purchases (From Schedule 1- Schedule of Purchases)
10.Ending inventory (Use this igure for beginning inventory on next claim)
11.Gallons consumed ( Add Lines 8 plus 9. Subtract Line 10)
12.Gallons not eligible for refund
13.Gallons claimed for refund (Line 11 minus Line 12)
14. Refund (Line 13 multiplied by rate per gallon) |
$ |
$ |
$ |
Schedule C.
15.Beginning Inventory (Must agree with closing inventory from prior quarter)
16.Purchases (From Schedule 1- Schedule of Purchases)
17.Ending inventory (Use this igure for beginning inventory on next claim)
18.Barrels consumed ( Add Lines 15 plus 16. Subtract Line 17)
19.Barrels not eligible for refund
20.Barrels claimed for refund (Line 18 minus Line 19)
21. Refund (Line 20 multiplied by rate per barrel) |
$ |
$ |
$ |
Schedule D. Solvents |
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22.Beginning Inventory (Must agree with closing inventory from prior quarter)
23.Purchases (From Schedule
24.Ending inventory (Use this igure for beginning inventory on next claim)
25.Gallons consumed ( Add Lines 22 plus 23. Subtract Line 24)
26.Gallons not eligible for refund
27.Gallons claimed for refund (Line 25 minus Line 26)
28. |
Refund (Line 27 multiplied by rate per gallon) |
$ |
$ |
$ |
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29. |
Total net refund requested (Add Lines 7 plus 14 plus 21 and Line 28) |
$ |
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30. |
Less refund processing fee |
$ |
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31. |
Net refund due (Line 30 minus Line 31) |
$ |
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SCHEDULE 1 |
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Purchase Invoices for Florida Pollutants Taxes Paid |
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R. 01/11 |
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Page 3 |
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Attachment Schedule for Pollutants Used in Marine Bunkering Engaged in Interstate or Foreign Commerce and/or Exported Out of Florida |
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Company Name |
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Quarter Ending |
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Lic/FEIN |
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Type of |
FL Pollutants |
FL Pollutants |
FL Pollutants |
Total |
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Invoice |
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Gallons |
Tax Paid |
Tax Paid |
Florida |
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Purchase Date |
Supplier’s Name |
Supplier’s FEIN |
Supplier’s Address |
Pollutant |
Tax Paid |
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Number |
or Barrels |
Inland |
Coastal |
Pollutants Tax |
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Purchased |
Water Quality |
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Purchased |
Protection |
Protection |
Paid |
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TOTAL
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SCHEDULE 2 |
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Sales Invoices For Proof of Florida Pollutants Taxes Paid |
R. 01/11 |
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Page 4 |
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Computation Worksheet for Pollutants Used in Marine Bunkering Engaged in Interstate or Foreign Commerce and/or Pollutants Exported Out of Florida |
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Company Name |
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Quarter Ending |
Lic/FEIN |
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Invoice |
Delivery Date |
Purchaser’s Name |
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Vessel’s Name if Applicable |
Point of Destination if Applicable |
Gallons or Barrels Sold |
Type of Pollutant |
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Number |
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(Marine Bunkering Only) |
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Barrels |
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x |
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Florida Water |
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sold |
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Quality Tax |
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Gallons |
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x |
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Florida Water |
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sold |
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Quality Tax |
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Barrels |
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x |
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= |
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Florida Inland |
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sold |
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Protection Tax |
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TOTAL REFUND |
$ |
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The refund rate for inland protection is:
.80 cents per barrel for petroleum products
The refund rate for water quality is:
.05 cents per barrel for petroleum products and all other pollutants not listed
.02 cents a barrel for ammonia
.059 cents per gallon for solvents
.025 cents per gallon for motor oil and lubricants
Important Information Concerning Pollutants Tax Returns
R.01/11 Page 5
1.Only persons licensed according to Chapter 206, F.S., can apply for a pollutant tax refund. Refund applicants are entitled to a refund of:
A.
1)Refund of 5 cents per barrel levied under
s.206.9935(2), F.S., (Tax for Water Quality).
2)Refund of 80 cents per barrel levied under
s.206.9935(3), F.S., (Tax for Inland Protection).
B.
1)Refund of 2.5 cents per gallon levied under
s.206.9935(2), F.S., (Tax for Water Quality) for motor oil and lubricants.
C.
1)Refund of 2 cents per barrel levied under
s.206.9935(2), F.S., (Tax for Water Quality) for ammonia.
2)The timing of the refund claim is based on the date on which the pollutant or the product containing the pollutant was exported and not the date on which the pollutant was originally purchased.
D.
1)Refund of 5.9 cents per gallon levied under
s.206.9935(2), F.S., (Tax for Water Quality).
2.Applications are to be used only for the quarter indicated on the face of this application. Only original refund applications are acceptable. Application forms may
be requested by contacting the Refund Section of the Department of Revenue at (850)
3.Claims must be iled quarterly, no later than the last day of the month immediately following the quarter. The iling date may be extended one additional month only if a justiied excuse is submitted in writing with the claim and only if the prior quarter’s claim was iled on time.
4.Amended applications for the prior calendar quarter must be received by the Department by the current calendar quarter’s deadline. A refund will not be authorized for an amount less than $5 for any given period.
Purchases Made |
Claims Must Be Filed By* |
With A Written Excuse – |
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During |
No Later Than |
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January, February, |
April 30 |
May 31 |
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and March |
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April, May, and June |
July 31 |
August 31 |
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July, August, |
October 31 |
November 30 |
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and September |
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October, November, |
January 31 |
February 28 |
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and December |
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*Amended application for prior quarter must be received by current quarter’s deadline. Example: An amended March quarterly application must be submitted by July 31.
5.Effective January 1, 2000, the Department will pay interest on refunds of this tax if the refund has not been paid or credited within 90 days of receipt of a complete application for refund. A complete application will contain documentation establishing the overpayment. Interest paid by the Department will be computed beginning on the 91st day based upon a statutory loating interest rate that may not exceed 11%. Interest rates are updated January 1 and July 1 of each year.
6.The request for refund must be supported by purchase invoices, charge tickets, sales slips, or other tangible evidence that supports the validity of the refund claim. Evidence may include items such as
A.Purchase invoices verifying the payment of taxes imposed under s. 206.9935, F.S., should contain the following information:
•Invoice number
•The name, mailing address, and location address of the supplier
•Type of pollutant and the number of gallons or barrels purchased
•Purchase date
•The pollutant tax paid per gallon or per barrel
•The Department of Environmental Protection storage tank facility identiication number for the supplier, if applicable, or supplier’s Federal Identiication Number (FEIN)
If a taxpayer is remitting pollutants tax via Form
B.Sales invoices should contain the following:
•Invoice number
•Delivery date
•Purchaser’s name
•Vessel’s name (if applicable)
•Point of destination (if applicable)
•Gallons or barrels sold
•Type of pollutant
Instead of original purchase and sales invoices, you may submit schedules provided they include the information required above.
7.
8.In the event of an overpayment of any refund, the Department will refuse to make further refunds and advise the payee of the amount to be reimbursed.
9.A processing fee of $2.00 will be deducted from each claim.
10.Any person licensed according to Chapter 206, F.S., who is eligible for a refund according to s. 206.9942, F.S., may, take a credit on the monthly Pollutants Tax Return (Form
R.01/11 Page 6
Schedule A —
Line 1. Beginning inventory – Must agree with closing inventory from prior quarter. If prior quarters claim was not iled, enter “0”.
Line 2. Barrels purchased – This represents petroleum products purchased during this calendar quarter. The information provided with Schedule 1 must support these purchases.
Line 3. Ending inventory2 – Actual physical inventory as of the last day of this quarter. This will be the beginning inventory for the next quarter. If no refund is due but a closing inventory exists, the claim form must be iled.
Line 4. Total barrels consumed – Line 1 plus Line 2 minus Line 3.
Line 5. Barrels not eligible for refund – This represents petroleum products which were not exported from the state or bunkered into a marine vessel engaged in interstate or foreign commerce.
Line 6. Barrels claimed for refund – This represents petroleum products that were exported from the state or bunkered into a marine vessel engaged in interstate or foreign commerce.
Schedule B —
Line 8. Beginning inventory – Must agree with closing inventory from prior quarter. If prior quarters claim was not iled, enter “0”.
Line 9. Gallons purchased – This represents motor oil and lubricant products purchased during this calendar quarter. The information provided with Schedule 1 must support these purchases.
Line 10. Ending inventory2 – Actual physical inventory as of the last day of this quarter. This will be the beginning inventory for the next quarter. If no refund is due but a closing inventory exists, the claim form must be iled.
Line 11. Total gallons exported – Line 8 plus Line 9 minus Line 10.
Line 12. Gallons not eligible for refund – This represents motor oil and lubricant products which were not exported from the state or bunkered into a marine vessel engaged in interstate or foreign commerce.
Line 13. Gallons claimed for refund – This represents motor oil and lubricant products that were exported from the state or bunkered into a marine vessel engaged in interstate or foreign commerce.
Schedule C —
Line 15. Beginning inventory – Must agree with closing inventory from prior quarter. If prior quarters claim was not iled, enter “0”.
Line 16. Barrels purchased1 – This represents pollutant products purchased during this calendar quarter. The information provided with Schedule 1 must support these purchases.
Line 17. Ending inventory2 – Actual physical inventory as of the last day of this quarter. This will be the beginning inventory for the next quarter. If no refund is due but a closing inventory exists, the claim form must be iled.
Line 18. Total barrels exported – Line 15 plus Line 16 minus Line 17.
Line 19. Barrels not eligible for refund – This represents pollutants or products containing said pollutants which were not exported from the state.
Line 20. Barrels claimed for refund – This represents pollutants or products containing said pollutants which were exported from the state.
Schedule D —
Line 22. Beginning inventory – Must agree with closing inventory from prior quarter. If prior quarters claim was not iled, enter “0”.
Line 23. Gallons purchased1 – This represents solvents purchased during this calendar quarter. The information provided with Schedule must support these purchases.
Line 24. Ending inventory2 – Actual physical inventory as of the last day of this quarter. This will be the beginning inventory for the next quarter. If no refund is due but a closing inventory exists, the claim form must be iled.
Line 25. Total gallons consumed – Line 22 plus Line 23 minus Line 24.
Line 26. Gallons not eligible for refund – This represents solvents which were not exported or consumed in the manufacture or production of a product that is not a pollutant or solvents which were not subsequently consumed, blended, or mixed to produce a pollutant that is subject to tax.
Line 27. Gallons claimed for refund – This represents the total solvents which were exported or consumed in the manufacture or production of a product that is not a pollutant or solvents which were subsequently consumed, blended, or mixed to produce a pollutant that is subject to tax.
1To convert solid pesticides and liquid ammonia from pounds to gallons, 10 pounds of solid pesticides equals one gallon and 5.14 pounds of ammonia at 60 degrees Fahrenheit equals one gallon. One barrel is the equivalent of 42 gallons.
2Pollutant products are considered a part of ending inventory until sold or exported.