Form 90-303 Application for Direct Deposit of Fuel Tax Refunds - Iowa

Form 90-303 is a Iowa Department of Revenue form also known as the "Application For Direct Deposit Of Fuel Tax Refunds". The latest edition of the form was released in June 5, 2017 and is available for digital filing.

Download a PDF version of the Form 90-303 down below or find it on Iowa Department of Revenue Forms website.

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Iowa Authorization for Direct Deposit
Fuel Tax Refunds
https://tax.iowa.gov
This form is for direct deposit of fuel tax refunds only. It is not to be used for paying taxes.
All information on this form is confidential. File your fuel tax refund claim as usual. Your refund will be
directly deposited into your account.
Refund Permit Number
Name and Address (please print)
Name
Address
City
State
ZIP
Financial Institution Account Information
Name of financial institution:
Routing number
The first two digits must be 01 through 12, or 21 through 32.
Account number
Savings ☐
Checking ☐
Type of account:
Yes ☐
No ☐
Will this refund go to an account outside the United States?
Send a voided check as proof of account ownership.
Contact Information (please print)
Contact name
Mailing address of contact person
Telephone number
Fax number
Email address
Authorized signature
Date
Questions
1-800-338-4692 or email: IDREFT@iowa.gov
Complete this form and send to:
EFT Unit
or fax to:
or email to:
Iowa Department of Revenue
515-281-5830
IDREFT@iowa.gov
PO Box 10413
Des Moines IA 50306
90-303 (06/05/17)
Iowa Authorization for Direct Deposit
Fuel Tax Refunds
https://tax.iowa.gov
This form is for direct deposit of fuel tax refunds only. It is not to be used for paying taxes.
All information on this form is confidential. File your fuel tax refund claim as usual. Your refund will be
directly deposited into your account.
Refund Permit Number
Name and Address (please print)
Name
Address
City
State
ZIP
Financial Institution Account Information
Name of financial institution:
Routing number
The first two digits must be 01 through 12, or 21 through 32.
Account number
Savings ☐
Checking ☐
Type of account:
Yes ☐
No ☐
Will this refund go to an account outside the United States?
Send a voided check as proof of account ownership.
Contact Information (please print)
Contact name
Mailing address of contact person
Telephone number
Fax number
Email address
Authorized signature
Date
Questions
1-800-338-4692 or email: IDREFT@iowa.gov
Complete this form and send to:
EFT Unit
or fax to:
or email to:
Iowa Department of Revenue
515-281-5830
IDREFT@iowa.gov
PO Box 10413
Des Moines IA 50306
90-303 (06/05/17)

Download Form 90-303 Application for Direct Deposit of Fuel Tax Refunds - Iowa

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