Form B&L: DRRR (2) "Claim for Diesel Fuel Tax Refund - Reduced Rates" - Alabama

What Is Form B&L: DRRR (2)?

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 May 1, 2020;
  • 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: DRRR (2) 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: DRRR (2) "Claim for Diesel Fuel Tax Refund - Reduced Rates" - Alabama

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A
D
R
LABAMA
EPARTMENT OF
EVENUE
B&L: DRRR (2)
B
& L
T
D
USINESS
ICENSE
AX
IVISION
5/20
RESET
M
F
S
OTOR
UELS
ECTION
P.O. Box 327540 • Montgomery, AL 36132-7540 • (334) 242-9608
Claim For Diesel Fuel Tax Refund – Reduced Rates
(NO GASOLINE ALLOWED)
NAME
QUARTER ENDING
ADDRESS
FEIN OR SSN
CITY
STATE
ZIP CODE
PHONE NUMBER
(          )
Check Here
EMAIL ADDRESS
CONTACT PERSON
6
If New Address
INDICATE TYPE OF OFF-ROAD BUSINESS:
6
6
6
Maritime Vessels
Railroad Locomotives
Treatment or Preservation of Wood Products
6
Tractors Used for Agricultural Purposes
Attach a list of all off-road vehicles or equipment which you own/rent. NOTE: Vehicles or equipment may not be designated as both
on-road and off-road.
TAX REFUND COMPUTATION:
1
1. Total gallons of undyed diesel fuel purchased during the quarter.. . . . .
2. Total gallons of undyed diesel fuel purchased which was used
2
off-road for which a refund is claimed. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
$ 0.27
3
3. Rate of tax refund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
$
4. Amount of refund claimed. (Line 2 multiplied by line 3.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SALES TAX COMPUTATION:
$
5
5. Cost of Fuel Refunded. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
$ 0.04
6
6. State Sales Tax Rate (4% of Cost of Fuel.) . . . . . . . . . . . . . . . . . . . . . . . .
7
$
7. Total Sales Tax Due. (Line 5 multiplied by line 6.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
$
8. Net Refund Due (Line 4 minus line 7.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INSPECTION FEE COMPUTATION:
9. Total gallons of undyed diesel fuel purchased which
9
was used off-road for which a refund is claimed. . . . . . . . . . . . . . . . . . . .
0
$ 0.00025
10
10. Inspection Fee Rate ($0.00025 per gallon) . . . . . . . . . . . . . . . . . . . . . . . .
11
$
11. Inspection Fee Due. (Line 9 multiplied by line 10.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
$
12. Net Excise Tax Refund. (Line 4 minus line 7 and minus line 11.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
6
Sales Tax Remitted to Alabama Department of Revenue:
Yes (Account No. ________________________ )
No
I declare under 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 shown in Item 2 does not exceed the total number of gallons of undyed diesel fuel on which I am legally entitled, under the laws of the State of Alabama, and
that said petitioner is entitled to such refund under the provisions of Section 40-17-329(h).
Signature: _________________________________________________________________ Date: ____________________________
Title or Position: ______________________________________________________________________________________________
Any applicant for the refund of taxes who willfully files an inaccurate petition or false claim for a refund shall be subject to a penalty of 100% of the refund
claimed, plus interest. Records to clearly substantiate this petition must be maintained by the applicant for a period of six years and must be made
available to the Alabama Department of Revenue or its authorized agents upon request. *FAILURE TO SUBMIT INVOICES ACCEPTABLE TO THE ALABAMA
DEPARTMENT OF REVENUE OR TO COMPLETE ALL THE QUESTIONS WILL RESULT IN THIS CLAIM BEING RETURNED TO YOU.
A
D
R
LABAMA
EPARTMENT OF
EVENUE
B&L: DRRR (2)
B
& L
T
D
USINESS
ICENSE
AX
IVISION
5/20
RESET
M
F
S
OTOR
UELS
ECTION
P.O. Box 327540 • Montgomery, AL 36132-7540 • (334) 242-9608
Claim For Diesel Fuel Tax Refund – Reduced Rates
(NO GASOLINE ALLOWED)
NAME
QUARTER ENDING
ADDRESS
FEIN OR SSN
CITY
STATE
ZIP CODE
PHONE NUMBER
(          )
Check Here
EMAIL ADDRESS
CONTACT PERSON
6
If New Address
INDICATE TYPE OF OFF-ROAD BUSINESS:
6
6
6
Maritime Vessels
Railroad Locomotives
Treatment or Preservation of Wood Products
6
Tractors Used for Agricultural Purposes
Attach a list of all off-road vehicles or equipment which you own/rent. NOTE: Vehicles or equipment may not be designated as both
on-road and off-road.
TAX REFUND COMPUTATION:
1
1. Total gallons of undyed diesel fuel purchased during the quarter.. . . . .
2. Total gallons of undyed diesel fuel purchased which was used
2
off-road for which a refund is claimed. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
$ 0.27
3
3. Rate of tax refund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
$
4. Amount of refund claimed. (Line 2 multiplied by line 3.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SALES TAX COMPUTATION:
$
5
5. Cost of Fuel Refunded. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
$ 0.04
6
6. State Sales Tax Rate (4% of Cost of Fuel.) . . . . . . . . . . . . . . . . . . . . . . . .
7
$
7. Total Sales Tax Due. (Line 5 multiplied by line 6.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
$
8. Net Refund Due (Line 4 minus line 7.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INSPECTION FEE COMPUTATION:
9. Total gallons of undyed diesel fuel purchased which
9
was used off-road for which a refund is claimed. . . . . . . . . . . . . . . . . . . .
0
$ 0.00025
10
10. Inspection Fee Rate ($0.00025 per gallon) . . . . . . . . . . . . . . . . . . . . . . . .
11
$
11. Inspection Fee Due. (Line 9 multiplied by line 10.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
$
12. Net Excise Tax Refund. (Line 4 minus line 7 and minus line 11.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
6
Sales Tax Remitted to Alabama Department of Revenue:
Yes (Account No. ________________________ )
No
I declare under 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 shown in Item 2 does not exceed the total number of gallons of undyed diesel fuel on which I am legally entitled, under the laws of the State of Alabama, and
that said petitioner is entitled to such refund under the provisions of Section 40-17-329(h).
Signature: _________________________________________________________________ Date: ____________________________
Title or Position: ______________________________________________________________________________________________
Any applicant for the refund of taxes who willfully files an inaccurate petition or false claim for a refund shall be subject to a penalty of 100% of the refund
claimed, plus interest. Records to clearly substantiate this petition must be maintained by the applicant for a period of six years and must be made
available to the Alabama Department of Revenue or its authorized agents upon request. *FAILURE TO SUBMIT INVOICES ACCEPTABLE TO THE ALABAMA
DEPARTMENT OF REVENUE OR TO COMPLETE ALL THE QUESTIONS WILL RESULT IN THIS CLAIM BEING RETURNED TO YOU.
UNDYED DIESEL FUEL FOR WHICH THIS PETITION IS BEING FILED:
DATE OF WITHDRAWAL
EQUIPMENT TYPE
EQUIPMENT ID NO.
GALLONS
TOTAL TO LINE 2
Attach additional sheets if necessary.
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