Motor Fuel Forms

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Current year Motor Fuel tax forms and associated schedules are listed below. Contact the department at 517-636-4600 if you need prior year forms.

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Motor Fuel Forms and Associated Schedules
Form Number Form Name Associated Schedules
Refund Request Notice
577 Dealers Liquid Petroleum Gas Return  
3712 Motor Fuel TaxLicense Application 702, Motor Fuel, Motor Carrier or Tobacco Surety Bond Form
3715 Carrier's Monthly Report: Pipeline, Barge, Marine Vessel 3788, Carrier Schedule of Deliveries
3716 Terminal Operator Monthly Report 3780, Schedule 15A — Terminal Operator Schedule of Receipts — Michigan Terminals Only
3781, Schedule 15B — Terminal Operator Schedule of Disbursements
3724 Transporter Quarterly Report 3779, Transporter Schedule of Deliveries or Diversions (803-TS)
3739 Eligible Purchaser Application to Defer Payment 702, Motor Fuel, Motor Carrier or Tobacco Surety Bond Form
3740 Request for Extension of Eligible Purchaser Agreement 3859,Eligible Purchaser Surety Bond Form
3769 Retail Marine Diesel Dealer Return 3767, Schedule 1: Retail Marine Diesel Dealer Schedule of Receipts
4429, Retail Marine Diesel Dealer Schedule of Disbursement
3778 Three Day Payment Voucher  
3791 Blender Monthly Return 3750, Schedule of Diversions
3817, Blender Schedule of Receipts
4124, Blender Schedule of Disbursements
3823 Aviation Fuel Registrant Application
3877 Terminal Operator Annual Return  
3877 Terminal Operator Annual Return
NOTE: Due Date 2/25/08
 
3978 Fuel Supplier Return 3750, Schedule of Diversions
3783, Supplier Schedule of Receipts
3784, Supplier Schedule of Disbursements
3992 Fuel Importer Return 3748, Importer Schedule of Receipts
3749, Importer Schedule of Disbursements
3750, Schedule of Diversions
3999 Motor Fuel/Tobacco Trading Partner Agreement
4040,Motor EFT Credit Application
4099, Motor Fuel Electronic Filing Application
4001 Supplier Electronic Filing Application 3999,Motor Fuel/Tobacco Trading Partner Agreement< /a>
4040,Motor EFT Credit Application
4004 Exporter Quarterly Report (540-EXP) 4012, Schedule of Exports
4099 Motor Fuel Electronic App 3999, Motor Fuel/Tobacco Trading Partner Agreement
4040,Motor EFT Credit Application
4334 Motor Fuel Untaxed Products Return  
4667 Michigan Fuel Product Codes  
Payments
4020 Motor Fuel Tax Payment/Proposed Adjustments Coupon  
4040 Motor Fuel Electronic Funds Transfer (EFT) Credit Application  
4041 Motor Fuel Electronic Funds Transfer (EFT) Debit Application  

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