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Motor Fuel Tax - Diesel

Municipal Motor Fuel Tax - Diesel, Under Article 24A Of The Revised Code Of Ordinances

Gallon measurement is necessary to complete this return. Please convert liter measurements into U.S. gallons (# of liters x .2641721).


Section A: Retail Diesel Motor Fuel Sales


Section B: Bulk User Diesel Fuel Purchases

Section C: Total Diesel Fuel Gallons

Section D: Calculation of Tax and Penalty

If this is a Final return, or there has been a change in ownership, please complete the following:

I certify that the information provided is true, accurate, and complete and that the information is taken from the books and records of the business for which this return is filed.

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