Form Ft 946 1046 PDF Details

The Form 946 is a form used to report employment taxes that have not been paid. This form is used by businesses and employers to report the amount of federal income tax and social security and Medicare taxes that were withheld from employees' paychecks, but were not paid over to the government. The Form 1046 is very similar to the Form 946, but is used to report employment taxes that were paid late. If you are required to file a Form 946 or a Form 1046, it is important to ensure that you submit these forms on time in order to avoid any penalties or fines. For more information on how to file a Form 946 or a Form 1046, please contact your local IRS office.

QuestionAnswer
Form NameForm Ft 946 1046
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesny diesel refund, motor tax ft form, ft946, 1046 tax

Form Preview Example

the exempt Indian tribe or nation of
and that the fuel for which this refund is claimed was delivered
to me on thereservation.

New York State Department of Taxation and Finance

FT-946/1046

Motor/Diesel Motor Fuel Tax Refund Application

(6/13)

Motor fuel tax (gasoline)

Diesel motor fuel tax

Both

Do not use for refund claims of sales and use tax or petroleum business tax.

Read instructions in Form FT-946/1046-I carefully.

Filing

Beginning

 

Ending

 

 

period:

 

 

 

 

 

 

 

 

 

 

Name of claimant

 

 

 

 

Telephone number

 

 

 

 

 

(

)

 

Street address

City

 

 

 

 

State

ZIP code

 

 

 

 

 

 

 

Social security number

NYS identification number

 

 

Federal employer identification number (EIN)

 

 

 

 

 

 

 

 

For office use only

Line 9 gallons

x $.064 = $

Line 10 gallons

 

 

 

 

 

 

 

 

x $.08

= $

 

 

 

Total refunds $

Audited by:

 

 

 

Date:

 

Approved by:

 

 

 

Date:

 

 

 

 

 

Approved by:

 

 

 

Date:

 

Refund claimed

Total refund claimed (from line 13 on page 2) ...................................................................................................................

Basis for refund

$

Mark an X in this box if you are filing multiple claims for refunds of motor/diesel motor fuel tax, sales tax, or petroleum business tax for the same period and gallonage. You must file this form and the appropriate sales tax refund claim form and/or petroleum business tax refund claim form together. Attach invoices or other substantiation as required by all forms and mail all forms in one envelope.

Mark an X in the box under section A, B, C, or D that indicates your type of operation and enter any other requested information.

A — Nontaxable use (off highway)

Farmer - number of acres under cultivation

Industrial type

Contractor - job location

Vehicles on rails or tracks

Commercial boats

Aircraft

Refrigerator (reefer) unit

Other (explain)

B — Refund assignment

Used by snowmobile club members (motor fuel)

Other (explain)

D — Specific organizations entitled to reimbursement

Voluntary ambulance service

Volunteer rescue squad

Volunteer fire company/department

Nonpublic school operator

Exempt hospital (number)

New York State and its municipalities

United States and any of its agencies or instrumentalities Indian tribe or nation

Member of exempt Indian tribe or nation – I hereby certify that I, , am an enrolled member of

,

C — Nontaxable sales

To New York State and its municipalities

To the United States and any of its agencies or instrumentalities

To airlines (kero-jet fuel)

For heating purposes (diesel motor fuel)

To exempt hospitals (motor fuel)

For immediate export (motor fuel)

Sales of E85 to filling stations on or after September 1, 2006

For the motor vehicles or equipment you own, indicate how many of each type that uses motor fuel (MF) or diesel motor fuel (DMF). If you do not own any of the following types of equipment, enter N/A in the box where indicated. If the fuel was used in a commercial motor boat, airplane, snowmobile, or all-terrain vehicle (ATV), list the type of fuel and registration number(s), if applicable, where indicated. Attach additional sheets if necessary.

On-road

MF

DMF

Off-road

MF

DMF

Commercial motor boat, airplane, snowmobile, or ATV registration number

vehicles

 

 

equipment

 

 

 

 

 

 

Automobiles

 

 

Motor boats

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trucks

 

 

Airplanes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tractors

 

 

Snowmobiles/ATV

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Indicate the types

 

 

 

Other

 

 

 

 

Pumps/Other

 

 

of other machinery.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 2 FT-946/1046 (6/13)

Enter separately in columns A or B the number of gallons of motor fuel/diesel motor fuel

A

B

purchased and consumed in New York State on which the excise tax was paid.

Motor fuel

Diesel motor fuel

 

 

1Beginning physical inventory (bulk storage only - others enter 0) (If no ending inventory was shown on the preceding claim, no beginning inventory should be shown on this claim. Beginning inventory should not include purchases made more than three years prior to date of filing a

 

claim.)

1

 

 

 

2

Purchases for this filing period (do not include purchases over three years old)

 

 

 

3

Gallons available (add lines 1 and 2)

 

 

 

4

Ending physical inventory (bulk storage only - others enter 0)

 

 

 

5

Total gallons used (subtract line 4 from line 3)

 

 

 

6

Number of taxable gallons used during this filing period (explain use and type of fuel)

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

7

Nontaxable gallons (subtract line 6 from line 5)

7

 

 

 

8

Total amount of nontaxable gallons (add the amounts on line 7, columns A and B)

 

 

 

9

Gallons of B20 included in line 8 that were purchased on or after September 1, 2006

9

 

 

 

10

Gallons of fuel other than B20 (subtract line 9 from line 8)

 

 

 

11

Refund claimed on B20 (multiply line 9 by $0.064)

 

 

 

12

Refund claimed on all other fuel (multiply line 10 by $0.08)

 

 

 

13

Total refund claimed (add lines 11 and 12)

13

 

$

 

Certification: I certify that this is a true, correct, and complete report.

 

 

 

Signature of authorized person

 

Oficial title

 

 

 

 

 

County

 

Authorized

 

 

 

 

 

 

 

 

 

 

 

 

person

 

E-mail address of authorized person

 

 

 

 

 

Telephone number

 

 

Date

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

Paid

 

Firm’s name (or yours if self-employed)

 

 

 

 

Firm’s EIN

 

Preparer’s PTIN or SSN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

preparer

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of individual preparing this application

Address

 

 

 

 

 

City

 

State

ZIP code

use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

only

 

 

 

 

 

 

 

 

 

 

 

 

E-mail address of individual preparing this application

 

 

Telephone number

Preparer’s NYTPRIN

 

 

Date

 

(see instr.)

 

 

 

 

 

(

)

 

 

 

 

 

 

 

See Form FT-946/1046-I, Instructions for Form FT-946/1046, for where to file.