Missouri Non-Highway Use Motor Fuel Refund Form

Submit your completed form by mailing it to the Taxation Division, P.O. Box 800, Jefferson City, MO 65105-0800. Alternatively, you can fax the form to (573) 522-1720 or email it to motorfuelrefunds@dor.mo.gov. Ensure all required documentation is attached and the form is signed and dated to avoid any delays in processing.

The form must be filed within one year of the date of purchase or by April 15 following the year of purchase for both 2024 and 2025.

The purpose of this form is to provide a mechanism for individuals and businesses to claim a refund on motor fuel taxes paid for fuel used in exempt non-highway activities. This helps ensure that taxes are appropriately refunded for fuel used in activities such as agriculture, construction, and heating, which do not contribute to highway maintenance costs. By accurately completing and submitting this form, claimants can recover funds spent on fuel taxes, aiding in financial management. The process involves detailing the usage of the fuel and verifying the tax paid to ensure transparency and compliance with state regulations. Proper submission of this form helps prevent overpayment of taxes and keeps the financial burden manageable for those using fuel for eligible non-highway purposes.

• 1. Business Name: Enter the name of the claimant's business.
• 2. First Name: Enter the first name of the claimant.
• 3. Last Name: Enter the last name of the claimant.
• 4. Social Security Number: Enter the social security number of the claimant.
• 5. Mailing Address: Enter the claimant's mailing address.
• 6. City: Enter the city of the claimant's address.
• 7. State: Enter the state of the claimant's address.
• 8. ZIP Code: Enter the ZIP code of the claimant's address.
• 9. Email Address: Enter the claimant's email address for correspondence.
• 10. Phone Number: Enter the claimant's contact phone number.
• 11. Tax Rate: Enter the applicable tax rate for the fuel.
• 12. Number of Gallons: Enter the number of gallons of fuel used in applicable activities.
• 13. Refund Calculation: Calculate the total tax paid and the refund amount based on provided instructions.
• 14. Signature: Claimant's signature to certify the accuracy of the information provided.
• 15. Date: Enter the date the form is signed.

Failure to submit this form may result in the inability to claim refunds on motor fuel taxes paid for non-highway use. This could lead to financial loss due to unclaimed funds.

• Missed Refunds: Potential loss of refund amounts due to unsubmitted claims.
• Non-Compliance: Failure to comply with tax regulations requiring documentation for refunds.
• Financial Penalties: Possible financial penalties or interest on unresolved tax issues related to motor fuel.

• 1. Agricultural Use: Claim refund for fuel used in farming and related equipment.
• 2. Construction Use: Claim refund for fuel used in construction and commercial off-road equipment.
• 3. Retailer Sales: Claim refund for bulk sales of gasoline to farmers.
• 4. Public Transportation: Claim refund for fuel used by public mass transportation operators.
• 5. Heating Use: Claim refund for fuel used in business or residential heating purposes.