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Motor Fuel Forms

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. 

Motor Fuel Forms and Associated Schedules

Form Number Form Name Associated Schedules
151 Authorized Representative Declaration (Power of Attorney)  
163 Notice of Change or Discontinuance  
702 Motor Fuel, Motor Carrier, Tobacco Products License or Motor Fuel Eligible Purchaser Surety Bond  
3739 Eligible Purchaser Application to Defer Payment to Licensed Supplier  
3778 (Dec. 31, 2021 and before) Three Day Payment Voucher  
3778 (Jan. 1, 2022 and after)  Three Day Payment Voucher  
4010 Gasoline and Diesel Fuel Inventory Report  
4334 (Dec. 31, 2021 and before) Motor Fuel Untaxed Products Return  
4334 (Jan. 1, 2022 and after) Motor Fuel Untaxed Products Return  
4360 (Dec. 31, 2021 and before) IFTA Bus Schedule  
4360 (Jan. 1, 2022 and after)  IFTA Bus Schedule  
4667 Michigan Fuel Product Codes  
5560 (Dec. 31, 2021 and before) Alternative Fuel Untaxed Products Return  
5560 (Jan. 1, 2022 and after)    
5576 Motor Fuel Tax License Application Signature Page  
5692 Equipment/Vehicle List  
  Summary Exempt Sales by Credit Card Issuers to Governmental Entities  
  Summary of Exempt Sales to Government Parochial Schools  
  Tribal Summary  

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