Form 96-0466A "Motor Vehicle Fuel Log Summary Schedule" - Arizona

What Is Form 96-0466A?

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

Form Details:

  • Released on July 1, 2010;
  • The latest edition provided by the Arizona Department of Transportation;
  • 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 96-0466A by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.

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Download Form 96-0466A "Motor Vehicle Fuel Log Summary Schedule" - Arizona

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Mail Drop 521M
MOTOR VEHICLE FUEL LOG
Fuel Tax Refund Compliance Unit
SUMMARY SCHEDULE
Arizona Department of Transportation
PO Box 2100
UN11
Phoenix AZ 85001-2100
602-712-8727
www.azdot.gov
96-0466A R07/10
Clear
Refund Period Beginning Date*
Refund Period Ending Date*
Refund Account Number
Page Number
G
of
Applicant Name
Doing Business As (DBA)
Attach a copy of the invoice or purchase receipt for each fuel delivery. The invoices should be in the same order as the table below.
UN11** Gallons
Beginning
Ending
Mileage
Gallons Consumed
Purchase Date
MPG
VIN/Equipment Number
Purchased
Odometer
Odometer
Off Highway
Off Highway
Total Gallons Claimed (this page)
* Refund Period must match dates on the form # 96-0466,
Total Gallons Claimed (all pages)
Motor Vehicle/Aviation Fuel Refund Application
UN11=Motor vehicle fuel for off highway use
**
Round to whole gallons.
Transfer total to UN11 on Motor Vehicle/Aviation Fuel Refund Application.
Mail Drop 521M
MOTOR VEHICLE FUEL LOG
Fuel Tax Refund Compliance Unit
SUMMARY SCHEDULE
Arizona Department of Transportation
PO Box 2100
UN11
Phoenix AZ 85001-2100
602-712-8727
www.azdot.gov
96-0466A R07/10
Clear
Refund Period Beginning Date*
Refund Period Ending Date*
Refund Account Number
Page Number
G
of
Applicant Name
Doing Business As (DBA)
Attach a copy of the invoice or purchase receipt for each fuel delivery. The invoices should be in the same order as the table below.
UN11** Gallons
Beginning
Ending
Mileage
Gallons Consumed
Purchase Date
MPG
VIN/Equipment Number
Purchased
Odometer
Odometer
Off Highway
Off Highway
Total Gallons Claimed (this page)
* Refund Period must match dates on the form # 96-0466,
Total Gallons Claimed (all pages)
Motor Vehicle/Aviation Fuel Refund Application
UN11=Motor vehicle fuel for off highway use
**
Round to whole gallons.
Transfer total to UN11 on Motor Vehicle/Aviation Fuel Refund Application.