Form B&L: MFT-3DV "Motor Fuel Importer Three Day Payment Voucher" - Alabama

What Is Form B&L: MFT-3DV?

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

Form Details:

  • Released on July 1, 2016;
  • 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-3DV 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-3DV "Motor Fuel Importer Three Day Payment Voucher" - Alabama

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Rate (4.4 / 5) 12 votes
A
D
R
LABAMA
EPARTMENT OF
EVENUE
B
& L
T
D
B&L: MFT-3DV
USINESS
ICENSE
AX
IVISION
M
F
S
7/16
OTOR
UELS
ECTION
RESET
P.O. Box 327540 • Montgomery, AL 36132-7540 • (334) 242-9608 • Fax (334) 242-1199
Motor Fuel Importer Three Day Payment Voucher
www.revenue.alabama.gov
NAME
DATE OF IMPORT
LICENSE NUMBER
FEIN
ADDRESS
CITY
STATE
ZIP
CONTACT NAME
PHONE NUMBER
E-MAIL ADDRESS
Check Here If New Address
(
)
Import Verfication Number:
Date Verification Number Assigned:
TAX COMPUTATION
A
B
C
D
E
GASOLINE
UNDYED DIESEL
DYED DIESEL
AVIATION GAS
JET FUEL
1 Imported Gallons from the Bulk Transfer/Terminal System in
Which the Alabama Excise Tax was not Precollected. . . . . . . . . . . .
$0.18
$0.19
$0.095
$0.035
2 Tax Rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Tax Due (Line 1 X Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Total Due (Add Lines 3, 4, and 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Total Amount Due (Enter total amount due of all tax types from Line 6, Columns A, B, D, and E)
Payments Over $750 Must be Paid Electronically.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PAY THIS AMOUNT
This voucher and payment are due on or before the 3rd day following the importation of the motor fuels. If the due date falls on a weekend or state holiday, then the return is due the next business day.
Under penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge and belief, it is true, correct, and complete.
Signature: _____________________________________________________________ Date: __________________________ Title: ________________________________________ Telephone Number: (_______)______________________
A
D
R
LABAMA
EPARTMENT OF
EVENUE
B
& L
T
D
B&L: MFT-3DV
USINESS
ICENSE
AX
IVISION
M
F
S
7/16
OTOR
UELS
ECTION
RESET
P.O. Box 327540 • Montgomery, AL 36132-7540 • (334) 242-9608 • Fax (334) 242-1199
Motor Fuel Importer Three Day Payment Voucher
www.revenue.alabama.gov
NAME
DATE OF IMPORT
LICENSE NUMBER
FEIN
ADDRESS
CITY
STATE
ZIP
CONTACT NAME
PHONE NUMBER
E-MAIL ADDRESS
Check Here If New Address
(
)
Import Verfication Number:
Date Verification Number Assigned:
TAX COMPUTATION
A
B
C
D
E
GASOLINE
UNDYED DIESEL
DYED DIESEL
AVIATION GAS
JET FUEL
1 Imported Gallons from the Bulk Transfer/Terminal System in
Which the Alabama Excise Tax was not Precollected. . . . . . . . . . . .
$0.18
$0.19
$0.095
$0.035
2 Tax Rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Tax Due (Line 1 X Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Total Due (Add Lines 3, 4, and 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Total Amount Due (Enter total amount due of all tax types from Line 6, Columns A, B, D, and E)
Payments Over $750 Must be Paid Electronically.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PAY THIS AMOUNT
This voucher and payment are due on or before the 3rd day following the importation of the motor fuels. If the due date falls on a weekend or state holiday, then the return is due the next business day.
Under penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge and belief, it is true, correct, and complete.
Signature: _____________________________________________________________ Date: __________________________ Title: ________________________________________ Telephone Number: (_______)______________________