Form AVG-1 "Aviation Gasoline Refund Application" - Maine

What Is Form AVG-1?

This is a legal form that was released by the Maine Department of Administrative and Financial Services - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the Maine Department of Administrative and Financial Services;
  • 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 AVG-1 by clicking the link below or browse more documents and templates provided by the Maine Department of Administrative and Financial Services.

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Download Form AVG-1 "Aviation Gasoline Refund Application" - Maine

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AVG
Maine Revenue Services
Aviation Gasoline
Refund Application
Period Begin
Period End
EIN
OR
SSN
NOTICE
Entity Information
(Business name, address & phone)
YOU MUST INCLUDE COPIES OF ORIGINAL INVOICES
WITH THIS REQUEST
Original invoices must be attached to this application for each purchase.
Refund will not be issued for any purchases made beyond the 12 months
refund period. Invoices will not be returned to you. It is recommended you
keep copies of the invoices for your own records. Invoices certified as
being paid can be substituted for individual receipts.
REFUND REQUESTS MUST BE
MADE WITHIN 12 MONTHS OF THE
DATE OF PURCHASE
PURCHASE DATE
1. Cost of all Gallons Purchased
1.
2. Total Gallons Puchased
2.
(round to nearest tenth)
3. Average Cost per Gallon
3.
(line 1 divided by line 2)
4. Number of Gallons Used for Personal Use
4.
(tenths)
5. Cost of Personal Use Gallons (line 3 times line 4)
5.
0.484
6. Excise Tax Rate
7. Excise Tax Paid
7.
(line 4 times line 6)
8. Sales Tax Base
8.
(line 5 minus line 7)
0.260
9. Refundable Rate
(ME Excise tax rate, less 4¢ per gallon)
10. Refundable Excise Tax
10.
(line 4 times line 9)
11. Sales Tax Due
11.
(multiply line 8 by 0.055)
12. Net Refund
12.
(line 10 minus line 11)
NAME OF DEALER
ADDRESS OF DEALER
Certification/Waiver
I, the undersigned, state that the information on this application is true, correct and complete to the best of my knowledge.
Date
Phone #
Signature/Title
Print Name
For assistance in completing this form, call (207) 624-9609
AVG-1 Revised 07/2017
AVG
Maine Revenue Services
Aviation Gasoline
Refund Application
Period Begin
Period End
EIN
OR
SSN
NOTICE
Entity Information
(Business name, address & phone)
YOU MUST INCLUDE COPIES OF ORIGINAL INVOICES
WITH THIS REQUEST
Original invoices must be attached to this application for each purchase.
Refund will not be issued for any purchases made beyond the 12 months
refund period. Invoices will not be returned to you. It is recommended you
keep copies of the invoices for your own records. Invoices certified as
being paid can be substituted for individual receipts.
REFUND REQUESTS MUST BE
MADE WITHIN 12 MONTHS OF THE
DATE OF PURCHASE
PURCHASE DATE
1. Cost of all Gallons Purchased
1.
2. Total Gallons Puchased
2.
(round to nearest tenth)
3. Average Cost per Gallon
3.
(line 1 divided by line 2)
4. Number of Gallons Used for Personal Use
4.
(tenths)
5. Cost of Personal Use Gallons (line 3 times line 4)
5.
0.484
6. Excise Tax Rate
7. Excise Tax Paid
7.
(line 4 times line 6)
8. Sales Tax Base
8.
(line 5 minus line 7)
0.260
9. Refundable Rate
(ME Excise tax rate, less 4¢ per gallon)
10. Refundable Excise Tax
10.
(line 4 times line 9)
11. Sales Tax Due
11.
(multiply line 8 by 0.055)
12. Net Refund
12.
(line 10 minus line 11)
NAME OF DEALER
ADDRESS OF DEALER
Certification/Waiver
I, the undersigned, state that the information on this application is true, correct and complete to the best of my knowledge.
Date
Phone #
Signature/Title
Print Name
For assistance in completing this form, call (207) 624-9609
AVG-1 Revised 07/2017
Any person who knowingly makes a false statement on this refund application is guilty of a Class E Crime, Punishable by a fine of up to
$1,000 or jail term of up to 6 months. 36 MRSA Section 2913.
Title 36, Chapter 451, MRSA
§ 2910 Refund of less than 4¢ per gallon to users of aircraft.
A person that buys and uses internal combustion engine fuel for the purpose of propelling piston engine aircraft and that has paid the tax imposed by this chapter on
that fuel is entitled to rembursement in the amount of the tax paid, less 4¢ per gallon, upon presenting to the State Tax Assessor a refund application accompanied
by the original invoices showing those puchases. Applications for refunds must be filed with the assessor within 12 months from the date of purchase. All fuel that
qualifies for a refund under this section is subject to the use tax imposed by chapter 215.
Complete for the application period shown on front:
NUMBER OF GALLONS
BEGINNING INVENTORY
PURCHASES
TOTAL AVAILABLE GALLONS
SALES
OWN USE
ENDING INVENTORY
MAIL TO:
Maine Revenue Services
PO Box 1064
Augusta, ME 04332-1064
For assistance in completing this form, call (207) 624-9609
AVG-1 Revised 07/2017
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