Form B&L: MFT-PREEE "Exempt Entity Petition for Refund" - Alabama

What Is Form B&L: MFT-PREEE?

This is a legal form that was released by the Alabama Department of Revenue - a government authority operating within Alabama. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on April 1, 2019;
  • The latest edition provided by the Alabama Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form B&L: MFT-PREEE by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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Download Form B&L: MFT-PREEE "Exempt Entity Petition for Refund" - Alabama

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B&L: MFT-PREEE (3)
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p.o. box 327540 • montgomery, Al 36132-7540 • (334) 242-9608 • fax (334) 242-1199
www.revenue.alabama.gov
exempt entity petition for refund
EXCLUDES FEDERAL GOVERNMENT
For Motor Fuel Purchases by Exempt Entities as Listed in Section 40-17-329(e)(2)-(5)
NAME
QUARTER ENDING
ADDRESS
FEIN
CITY
STATE
ZIP
CONTACT PERSON
TELEPHONE NUMBER
(        )
E-MAIL ADDRESS
  Check here if new address
TYPE OF ENTITY (CHECK ONE):
  County Governing Body
  Alabama Institute for Deaf and Blind
  Incorporated Municipal Governing Body
  Department of Youth Services School District
  City and County Boards of Education
  Private and Church School Systems (K-12)
TAX REFUND CALCULATION:
Gasoline
Undyed Diesel
Aviation Gas
Jet Fuel
1. Total gallons purchased with
the excise tax paid (round to
whole gallons) . . . . . . . . . . . . . . . . . .
2. Excise tax rate . . . . . . . . . . . . . . . . . .
X                    $0.28
X                    $0.29
X                  $0.095
X                  $0.035
3. Excise Tax Refund Total
(line 1 multiplied by line 2) . . . . . . . . $
$
$
$
INSPECTION FEE CALCULATION:
4. Total gallons purchased with
the excise tax paid (round to
0
0
whole gallons) . . . . . . . . . . . . . . . . . .
5. Inspection fee rate $0.02 . . . . . . . . .
$0.02
$0.02
6. Inspection Fee Due
(multiply line 4 by line 5) . . . . . . . . . $
$
7. Net Refund (line 3 minus
line 6) . . . . . . . . . . . . . . . . . . . . . . . . . $
$
I declare under the penalties of perjury that this claim has been examined by me and to the best of my knowledge and belief is true and
correct, and that the number of gallons claimed were purchased by the exempt entity, excluding the Federal Government, with the
excise tax paid, and that said petitioner is entitled to such refund under the provisions of Section 40-17-329(e)(2)-(5).
Signature: _________________________________________________________________ Date: ____________________________
Title or Position: ______________________________________________________________________________________________
Records to clearly substantiate the above petition must be maintained by the exempt entity for a period of six years and must be made available to the Alabama
Department of Revenue or its authorized agents upon request. The statute of limitations is two years from the date the purchase was made by the exempt entity.
The petition must be filed on a quarterly basis with a separate petition for each quarter and cannot include any sales for any other period. Copies of receipts/invoices
or a credit card company report of purchases stating the date of the purchase made by the exempt entity, vendor name and location, invoice number, product type,
and number of gasoline, undyed diesel fuel, aviation gasoline, and jet fuel gallons must be attached to the petition for refund. Please see instructions for further
A
D
r
B&L: MFT-PREEE (3)
lAbAmA
epArtment of
evenue
RESET
5/21
b
& l
t
D
usiness
icense
Ax
ivision
m
f
s
otor
uels
ection
p.o. box 327540 • montgomery, Al 36132-7540 • (334) 242-9608 • fax (334) 242-1199
www.revenue.alabama.gov
exempt entity petition for refund
EXCLUDES FEDERAL GOVERNMENT
For Motor Fuel Purchases by Exempt Entities as Listed in Section 40-17-329(e)(2)-(5)
NAME
QUARTER ENDING
ADDRESS
FEIN
CITY
STATE
ZIP
CONTACT PERSON
TELEPHONE NUMBER
(        )
E-MAIL ADDRESS
  Check here if new address
TYPE OF ENTITY (CHECK ONE):
  County Governing Body
  Alabama Institute for Deaf and Blind
  Incorporated Municipal Governing Body
  Department of Youth Services School District
  City and County Boards of Education
  Private and Church School Systems (K-12)
TAX REFUND CALCULATION:
Gasoline
Undyed Diesel
Aviation Gas
Jet Fuel
1. Total gallons purchased with
the excise tax paid (round to
whole gallons) . . . . . . . . . . . . . . . . . .
2. Excise tax rate . . . . . . . . . . . . . . . . . .
X                    $0.28
X                    $0.29
X                  $0.095
X                  $0.035
3. Excise Tax Refund Total
(line 1 multiplied by line 2) . . . . . . . . $
$
$
$
INSPECTION FEE CALCULATION:
4. Total gallons purchased with
the excise tax paid (round to
0
0
whole gallons) . . . . . . . . . . . . . . . . . .
5. Inspection fee rate $0.02 . . . . . . . . .
$0.02
$0.02
6. Inspection Fee Due
(multiply line 4 by line 5) . . . . . . . . . $
$
7. Net Refund (line 3 minus
line 6) . . . . . . . . . . . . . . . . . . . . . . . . . $
$
I declare under the penalties of perjury that this claim has been examined by me and to the best of my knowledge and belief is true and
correct, and that the number of gallons claimed were purchased by the exempt entity, excluding the Federal Government, with the
excise tax paid, and that said petitioner is entitled to such refund under the provisions of Section 40-17-329(e)(2)-(5).
Signature: _________________________________________________________________ Date: ____________________________
Title or Position: ______________________________________________________________________________________________
Records to clearly substantiate the above petition must be maintained by the exempt entity for a period of six years and must be made available to the Alabama
Department of Revenue or its authorized agents upon request. The statute of limitations is two years from the date the purchase was made by the exempt entity.
The petition must be filed on a quarterly basis with a separate petition for each quarter and cannot include any sales for any other period. Copies of receipts/invoices
or a credit card company report of purchases stating the date of the purchase made by the exempt entity, vendor name and location, invoice number, product type,
and number of gasoline, undyed diesel fuel, aviation gasoline, and jet fuel gallons must be attached to the petition for refund. Please see instructions for further