Form SFT-9T-B "Special Fuels Refund Application" - Massachusetts

What Is Form SFT-9T-B?

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

Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the Massachusetts 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 printable version of Form SFT-9T-B by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Revenue.

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Download Form SFT-9T-B "Special Fuels Refund Application" - Massachusetts

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Massachusetts Department of Revenue
Form SFT-9T-B
Special Fuels Refund Application
Massachusetts Turnpike use, special fuels excise, MGL Ch. 64E —
for transactions occurring on or after July 31, 2013
Must be filed on a calendar half-year basis. Claim must be filed within two years of the date of purchase. Application must be filled out in its
entirety. Mail to: Massachusetts Department of Revenue, PO Box 7012, Boston, MA 02204.
Name of applicant
Federal Identification number
Social Security number
Mailing address
Phone number
City/Town
State
Zip
Period in which gasoline was used (fill in whichever apply)
January 1–June 30 
July 1–December 31
Fill in if you have storage facilities for fuel
Fill in if you owe any Massachusetts state taxes
Fill in if you have applied for other motor fuel refund(s) (if Yes, specify type(s))
Tax Refund Computation.
First in/first out basis must be used. Enter fuel as whole gallons.
a.
b.
c.
d.
Jan. 1–March 31
April 1–June 30
July 1–Sept. 30
Oct. 1–Dec. 31
11 Gallons of special fuels purchased as
shown by attached original purchase
receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
12 Gallons upon which a refund is claimed
(from computation schedule on reverse) 2
.24
.24
.24
.24
13 Special fuels tax rate per gallon. . . . . . . . 3
14 Amount of special fuels tax refund. Multiply
line 2 by line 3. Do not claim under $1.00 4
Adjustment for use tax
15 Cost of special fuels reported in line 2. . . 5
16 Amount shown in line 4 . . . . . . . . . . . . . . 6
17 Amount subject to use tax. Subtract
line 6 from line 5. . . . . . . . . . . . . . . . . . . . 7
18 Use tax. Multiply line 7 by .0625 (6.25%) 8
19 Net refund. Subtract line 8 from line 4 . . . 9
10 Total refund due. Add line 9, columns. a, b, c and d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Schedule on reverse side must be filled out in its entirety. Original fuel purchase receipts and toll receipts must be attached.
Supplier’s name, address, quantity (in gallons) of special fuel purchased and date of purchase must be on each sales receipt. Sales receipts will be
returned if a written request accompanies the application. If there is any evidence of erasure or change in either dates or amounts shown on purchase
receipts or toll receipts, application will be disallowed in its entirety.
Fuel must be purchased on day of use or within three preceding days of turnpike use. Applicants having storage facilities must transfer fuel into vehicle tank
on day of use or within three preceding days of turnpike use. If fuel is purchased outside the Commonwealth prior to entering the turnpike, do not include
that travel for refund. Application subject to audit. Complete records must be kept three years for verification by a representative of the Commissioner.
Declaration
The undersigned applicant states under the penalties of perjury that all information contained in this application is true, correct and complete
and that the undersigned has complied with all laws of the Commonwealth relating to taxes.
Signature of applicant or person authorized to sign
Date
Rev. 3/15
Massachusetts Department of Revenue
Form SFT-9T-B
Special Fuels Refund Application
Massachusetts Turnpike use, special fuels excise, MGL Ch. 64E —
for transactions occurring on or after July 31, 2013
Must be filed on a calendar half-year basis. Claim must be filed within two years of the date of purchase. Application must be filled out in its
entirety. Mail to: Massachusetts Department of Revenue, PO Box 7012, Boston, MA 02204.
Name of applicant
Federal Identification number
Social Security number
Mailing address
Phone number
City/Town
State
Zip
Period in which gasoline was used (fill in whichever apply)
January 1–June 30 
July 1–December 31
Fill in if you have storage facilities for fuel
Fill in if you owe any Massachusetts state taxes
Fill in if you have applied for other motor fuel refund(s) (if Yes, specify type(s))
Tax Refund Computation.
First in/first out basis must be used. Enter fuel as whole gallons.
a.
b.
c.
d.
Jan. 1–March 31
April 1–June 30
July 1–Sept. 30
Oct. 1–Dec. 31
11 Gallons of special fuels purchased as
shown by attached original purchase
receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
12 Gallons upon which a refund is claimed
(from computation schedule on reverse) 2
.24
.24
.24
.24
13 Special fuels tax rate per gallon. . . . . . . . 3
14 Amount of special fuels tax refund. Multiply
line 2 by line 3. Do not claim under $1.00 4
Adjustment for use tax
15 Cost of special fuels reported in line 2. . . 5
16 Amount shown in line 4 . . . . . . . . . . . . . . 6
17 Amount subject to use tax. Subtract
line 6 from line 5. . . . . . . . . . . . . . . . . . . . 7
18 Use tax. Multiply line 7 by .0625 (6.25%) 8
19 Net refund. Subtract line 8 from line 4 . . . 9
10 Total refund due. Add line 9, columns. a, b, c and d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Schedule on reverse side must be filled out in its entirety. Original fuel purchase receipts and toll receipts must be attached.
Supplier’s name, address, quantity (in gallons) of special fuel purchased and date of purchase must be on each sales receipt. Sales receipts will be
returned if a written request accompanies the application. If there is any evidence of erasure or change in either dates or amounts shown on purchase
receipts or toll receipts, application will be disallowed in its entirety.
Fuel must be purchased on day of use or within three preceding days of turnpike use. Applicants having storage facilities must transfer fuel into vehicle tank
on day of use or within three preceding days of turnpike use. If fuel is purchased outside the Commonwealth prior to entering the turnpike, do not include
that travel for refund. Application subject to audit. Complete records must be kept three years for verification by a representative of the Commissioner.
Declaration
The undersigned applicant states under the penalties of perjury that all information contained in this application is true, correct and complete
and that the undersigned has complied with all laws of the Commonwealth relating to taxes.
Signature of applicant or person authorized to sign
Date
Rev. 3/15
2015 FORM SFT-9T-B, PAGE 2
Name of applicant
Federal Identification number
Social Security number
Computation schedule
Schedule must be filled out in its entirety. Enter each toll slip on a separate line. Check rate to be used in col. 8. For vehicles in Classes 1 and 2, check
“15”; for vehicles in Classes 3 through 9, check “5.” If more space is needed, attach additional computation schedules.
If fuel is purchased outside the Commonwealth prior to entering the turnpike, do not include that travel for refund.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Date of fuel
Gallons
Gallons
– Toll stations –
purchase
Date of
purchased
Mileage on
Vehicle class
Divide by
consumed
or transfer
toll receipt
and/or placed
Entry
Exit
turnpike
(copy from
rate (check
(divide col. 6
(mm/dd/yyyy)
(mm/dd/yyyy)
in vehicle(s)
number
number
(compute)
toll receipt)
rate used)
by col. 8)
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
5
15
Total gallons. Add col. 9. Enter here and in Tax Refund Computation, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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