Mdt Form Mf 93 PDF Details

The Mdt Mf 93 form, issued by the Montana Department of Transportation, serves as a crucial document for those seeking a refund of the Montana diesel tax paid on fuel used in refrigeration units, commonly referred to as "reefer" units. This form allows applicants to request a refund on the diesel tax incurred within Montana, underlining the department's commitment to accommodate the specific needs of businesses and individuals using refrigerated transport. Applicants must detail their diesel purchases, including the date, dealer name, and gallons purchased, to calculate the total refund amount based on the tax rate of $.2775. It is noteworthy that this form can be submitted electronically, streamlining the application process. However, electronic filing does not negate the necessity of maintaining accurate records, as these are essential in the event of a fuel tax audit. The Mdt Mf 93 form embodies both an avenue for tax recovery and a compliance mechanism, ensuring that claims are substantiated by thorough documentation. This includes original invoices for non-electronic submissions and a detailed record of purchases even when claims are filed via email to mdtreferrefunds@mt.gov. The flexibility to file at any point during the year, provided the claim respects the 36-month purchase window, alongside mandatory evidence of the taxed amount, emphasizes the procedure's accessibility and the state's dedication to fair tax practices. The form further simplifies the process with explicit instructions and contact information for assistance, underpinning the Montana Department of Transportation's effort to facilitate taxpayer engagement with state policies.

QuestionAnswer
Form NameMdt Form Mf 93
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmf93_reefer mf 93 refund of montana diesel tax form

Form Preview Example

MONTANA DEPARTMENT OF TRANSPORTATION

Refrigerator Fuel Refund Application

Refund of Montana Diesel Tax

PO BOX 5895

HELENA MT 59604-5895

Phone: (406) 444-7270 Fax: (406) 444-5411 TTY: (406) 444-7696

www.mdt.mt.gov

This form may be filed electronically by e-mail to mdtreferrefunds@mt.gov

Please read Important Refund Information on Page 2.

Time Period for Refund:

 

 

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant’s Name (Last, First, MI) or Trade Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SSN or Tax ID #:

 

 

Occupation:

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address:

 

 

 

 

Phone #

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

State:

 

Zip + 4

 

 

 

 

 

 

 

 

 

 

Tax Rate: .2775

REQUESTED AMOUNTS

510222 Diesel

Total Refund Request:

$

 

 

Original Signature required for processing application *

If filing your application for refund electronically (via e-mail), please certify the following statement by checking this box.

I/we hereby declare and represent that the above and foregoing is a true and correct statement showing all Montana tax paid diesel purchased and entirely consumed in a refrigeration (reefer) unit by the applicant; that the invoices included are the original purchase invoices received at the time of purchase and delivery; that said claim against the State of Montana is just and wholly unpaid.

Paid Preparer’s Name:

Address:

Signature:

Phone:

Date:

Check the box if you do not want the Department of Transportation to discuss this return with the preparer above?

Applicant’s Signature: _______________________________________ Date: ________________________

*A claim for a refund that is filed electronically does not require a signature or the original invoices.

FOR OFFICE USE ONLY

File Location: _______________________ - ________ Entered: _________/________/_______-_________

Processed: ________/_______/_______ - ________ Pre-Approved: ________/________/________ - ________

Approved: ________/________/________ - ________ Postmark Date:_______/________/________ - ________

MF-93 Revised 07/2012

1

List only Montana TAX PAID “reefer” fuel purchases.

Date of

Dealer

Invoice or

Purchase

transaction

 

 

#

Name of Montana Dealer from whom the purchase was made

 

 

Dealer Name

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gallons

TOTAL GALLONS

TOTAL REFUND AMOUNT (Total gallons multiplied by tax rate of $.2775)

Important Refund Information

1.Request is valid for “Montana” tax paid purchases for refrigeration (reefer) units only.

2.All invoices must be identified by dealer as reefer fuel”.

3.Original invoices must be submitted with this form except for a claim for a refund filed electronically. If submitting a claim electronically, you may complete page 2 or include a listing of your reefer fuel purchases with the same information requested with your application. A claim for refund that is filed electronically does not relieve the taxpayer of maintaining records upon which the claim for a refund is based. In the event of a fuel tax audit, records to support this claim for refund of Montana fuel tax will be required.

4.Refund applications may be filed at any time during the year and as often as you like, provided the invoices are within thirty six (36) months of the date of purchase, based on the postmarked date the refund is submitted.

5.Any person who requests a refund or credit of motor fuel tax must have evidence that the Montana motor fuel tax was included in the total fuel price paid.

Contact Information:

(406)444-7270 or e-mail mdtreferrefunds@mt.gov

MF-93 Revised 07/2012

2

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